| NPI | 1073027371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE ROGERS Owner/Manager 304-290-7210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WV 2265-3303) |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2018-03-17 |