| NPI | 1720320591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE LYNN ROBERTS Owner 304-280-9798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E3870) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2013-03-20 |