| NPI | 1154795359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON C MEDINA Owner/Therapist 304-842-3404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 2064) |
| Enumeration Date | 2015-11-25 |
| Last Update Date | 2015-11-25 |