| NPI | 1215304795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON E NEWSOME President 681-265-9204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 1937) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2015-08-31 |