| NPI | 1346643905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN ELIZABETH SERVIAN Clinical Therapist 304-322-0463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WV 1919) |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2014-10-22 |