| NPI | 1427476738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA J TAYLOR Executive Director 304-587-4251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: WV 1035-0894) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant (Licence: WV 1035-0894) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2014-04-03 |