| NPI | 1548327166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH ANN DAGUE President 304-233-4435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |