| NPI | 1174741607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISTI DAWN JONES- WHEELER Owner 304-929-3945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: WV 828) |
| Enumeration Date | 2007-04-22 |
| Last Update Date | 2020-08-22 |