| NPI | 1356455091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN JONES Executive Director 304-366-4750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WV 129) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2022-05-06 |