NPI | 1295495984 |
---|---|
Entity Type | Organization |
Authorized Contact | ANNIE L PYSZ Member 304-673-8314 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine |
2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | |
261QH0100X Clinic/Center, Health Services | |
261QM0850X Clinic/Center, Adult Mental Health | |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
261QU0200X Clinic/Center, Urgent Care | |
Enumeration Date | 2021-12-22 |
Last Update Date | 2022-04-19 |