| NPI | 1396254538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MATT STRAUB CFO 304-691-1284 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 103G00000X Clinical Neuropsychologist | |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| 231H00000X Audiologist | |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2017-09-20 |