| NPI | 1659030864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY A SCHREIBER CEO 304-374-5603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2021-12-15 |
| Last Update Date | 2022-05-17 |