| NPI | 1548095904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TABITHA LYNN SMITH Owner, Fnpc, Medical Director 304-372-9679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2024-09-05 |