| NPI | 1730962960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON SCOTT QUINTRELL CEO 304-925-0366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2023-08-14 |