| NPI | 1316779788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL HILES Owner/Clinical Therapist 304-814-3179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-08-15 |
| Last Update Date | 2024-08-15 |