| NPI | 1669828307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTA J AUCREMANNE Owner 304-680-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV dp00942181) |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2016-05-12 |