| NPI | 1376339747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE LEA DANIELSON Cheif Clinical Officer 304-654-7557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-04-15 |
| Last Update Date | 2025-04-15 |