| NPI | 1477285476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY ECKMAN COO/CFO 304-480-1706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2022-06-28 |