| NPI | 1093831844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A KODRICH Counselor 304-420-0940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 1197) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |