| NPI | 1225284318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA ANN GEORGE Psychologist 304-636-0158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WV 001) |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2022-07-21 |