| NPI | 1669254843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLYCIA STENNETT Owner 304-687-6863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-10-20 |
| Last Update Date | 2024-12-05 |