| NPI | 1639542442 |
|---|---|
| Doing Business As | MILLHAM PSYCHOTHERAPY GROUP |
| Entity Type | Organization |
| Authorized Contact | SUSAN MILLHAM Owner 304-435-3494 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: WV DP00944194) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2022-10-13 |