| NPI | 1073479101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELLE FITZGERALD-KRATZENBERG Owner 304-634-3222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-01-02 |
| Last Update Date | 2026-01-02 |