| NPI | 1518303056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA SUE SHREVE Psychotherapist 304-612-1582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: WV 1896) |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2013-05-10 |