| NPI | 1396483731 |
|---|---|
| Doing Business As | CENTRAL AVENUE WELLNESS |
| Entity Type | Organization |
| Authorized Contact | MELODY G FRYE Owner 304-638-2564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2022-05-25 |