| NPI | 1205812914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN HENRY JOHNSON CEO 304-252-8409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2020-08-22 |