| NPI | 1366799561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA KAY KOON Billing Clerk 304-636-9450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WV BP00944009) |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2012-08-07 |