| NPI | 1508594961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH RAYANNE CICHOSKI Clinical Therapist 304-288-7928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-08-12 |
| Last Update Date | 2022-08-12 |