| NPI | 1053063040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HIMAN BHATIA CEO 304-599-1680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 175T00000X Peer Specialist | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2022-01-21 |
| Last Update Date | 2022-02-11 |