| NPI | 1710352232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERRY GLENN STANLEY Owner 304-559-3821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2015-12-09 |