| NPI | 1316502172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAYSHA EVERHART Owner 304-671-4875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2019-05-07 |