| NPI | 1407192024 |
|---|---|
| Other Name | ROOTS |
| Doing Business As | GR&W HARMONY |
| Entity Type | Organization |
| Authorized Contact | RYAN J WAKIM Authorized Official 304-280-7337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Enumeration Date | 2012-12-31 |
| Last Update Date | 2023-04-04 |