| NPI | 1245753250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY MCMURRAY Executive Director 304-472-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV DP00945017) |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2022-07-21 |