| NPI | 1336512359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA SWARTZ Founder/Clinical Director 681-252-1632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WV 2036) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WV 2036) |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2018-08-10 |