| NPI | 1063808475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA KLINE Owner, Clinical Director 304-312-1192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC006851) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2015-04-13 |