| NPI | 1508520966 |
|---|---|
| Doing Business As | IMAGINE COUNSELING SERVICES |
| Doing Business As | IMAGINATION STATION WV |
| Entity Type | Organization |
| Authorized Contact | CANDACE D LAYNE Director 304-544-2417 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-10-22 |
| Last Update Date | 2022-08-08 |