| NPI | 1427427376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATE M HARBERT Executive Director 304-844-2124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.009820) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.009820) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2023-09-29 |