| NPI | 1134126147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOREEN K SCHAFFNER CFO 304-260-9401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: WV 202) |
| Additional Taxonomies | 103TM1800X Psychologist Mental Retardation & Developmental Disabilities (Licence: WV 202) |
| 104100000X Social Worker (Licence: WV BP00942130) | |
| 163W00000X Registered Nurse (Licence: WV 43449) | |
| 251S00000X Community/Behavioral Health (Licence: WV 266) | |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2023-09-06 |