| NPI | 1275599060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCILLA F LEAVITT Clinical Director 304-422-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2013-05-09 |