| NPI | 1205812914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN HENRY JOHNSON CEO 304-252-8409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 103T00000X Psychologist |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2025-09-11 |