| NPI | 1508636044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH MICHAEL HOUSE Owner 304-704-7498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-01-05 |
| Last Update Date | 2024-01-05 |