| NPI | 1063832707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH K MCINTIRE Licensed Counselor 304-241-4123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WV 2014) |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2014-04-21 |