| NPI | 1750332524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA PRICE Authorized Official 304-623-5661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WV 20) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2021-06-23 |