| NPI | 1093263642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN BOHLANDER KRADEL Owner, Clinical Social Worker 304-433-7212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2016-09-12 |