| NPI | 1457419285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARD ANDREW STEWARD Director 304-323-3511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810002531) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2007-09-08 |