| NPI | 1265395263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE I. KOMOLAFE CEO/Owner 304-207-0687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2025-12-05 |
| Last Update Date | 2025-12-05 |