| NPI | 1487220281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY WAIBOGHA CEO 304-322-0275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2023-04-04 |