| NPI | 1184069668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSRIC MALONE PRIOLEAU Clinical Director 304-422-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: WV 78679) |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2013-05-09 |