| 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 |