| NPI | 1598466757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAZMYN PRICE Counselor 2 304-344-5924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-03-15 |
| Last Update Date | 2023-03-15 |