| NPI | 1710182175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA ANN RYAN Owner 304-263-4741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV DP00938457) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2007-07-10 |