| NPI | 1710306568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE MICHAEL DAMOUS Licensed Psychologist/Owner 304-720-3835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WV 748) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2014-04-09 |