| NPI | 1669538732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE B. RIFFE Vicepresident, Secretary 304-291-5964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WV DP00454299) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WV 529) |
| Enumeration Date | 2006-12-30 |
| Last Update Date | 2011-10-29 |