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 |