| NPI | 1679278071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ANN HURST Owner/Ap RN Provider 304-933-9085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2023-04-04 |