| NPI | 1659714244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH BLANK THOMPSON Manager 304-613-5091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 1145) |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2013-04-12 |