| NPI | 1508137969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBYN HARRISON-TAFT Owner 304-579-3272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WV 2010) |
| Enumeration Date | 2012-01-17 |
| Last Update Date | 2024-12-10 |