| NPI | 1083064695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMON CASE CATER Owner, CEO 304-746-2918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: WV 440) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WV 440) |
| 101YM0800X Counselor, Mental Health (Licence: WV 440) | |
| 101YP2500X Counselor, Professional (Licence: WV 440) | |
| 103T00000X Psychologist (Licence: WV 440) | |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2016-06-14 |