| NPI | 1568817674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOLLY SULLIVAN Owner/Clinical Social Worker 304-216-1195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WV 00943037) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2024-06-05 |