| NPI | 1417462771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA MARIE GRANT Executive Director 304-768-5506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC0700X Psychologist, Clinical | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2018-03-17 |