| NPI | 1639909393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELENA JOYCE MCCOY Therapist 304-807-8878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2024-08-06 |
| Last Update Date | 2024-08-12 |