| NPI | 1326117409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH K BURKE Director Of Operations 304-788-1113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |