| NPI | 1437361466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES B. YEARGAN President 304-255-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WV 166) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |