| NPI | 1093314825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENA CHESTNUT Owner/ Psychotherapist 304-704-3885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-11-05 |