| NPI | 1639665912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE MICHAEL DAMOUS Owner 304-720-3835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-07-11 |