| NPI | 1720294226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY POLONCHAK Vice President 304-876-1421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV DP00940860) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2008-06-25 |