| NPI | 1609325083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN D RAY Owner 304-707-6170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV DP00943913) |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2016-09-27 |