| NPI | 1164292645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA M VAZQUEZ Owner/Psychotherapist 304-280-6360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-01-04 |
| Last Update Date | 2024-01-04 |