| NPI | 1689818379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON KRISTI WALISER Owner 304-363-4265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV DP00942521) |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2020-07-22 |