| NPI | 1275619017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK N CASDORPH Owner/Doctor 304-343-5554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WV 1322) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WV 350) |
| 104100000X Social Worker (Licence: WV 761) | |
| 103T00000X Psychologist (Licence: WV 766) | |
| 101Y00000X Counselor (Licence: WV 754) | |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2012-06-15 |