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 |