NPI | 1578909073 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA CAROL PAUL Owner/Clinical Therapist 304-319-0466 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: WV DP00942479) |
Enumeration Date | 2013-05-12 |
Last Update Date | 2013-05-12 |