| NPI | 1518417443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARA LUCADO School Psychologist 304-256-4555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WV R9U133100114) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2016-10-04 |