| NPI | 1356475412 |
|---|---|
| Doing Business As | CLARVIDA |
| Entity Type | Organization |
| Authorized Contact | LAURA MARIE WHITE Wv Director Of Operations 304-992-6153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WV 566) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2024-07-10 |