| NPI | 1700904240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERI TIMKO Licensed Professional Counselor 304-680-7622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC1659) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2011-04-08 |