| NPI | 1639384449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY G WILSON STRANGE Psychologist 304-745-5065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WV 858) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2014-02-21 |