| NPI | 1750977229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALVIN GOSIEN Health Care Assistant 304-319-6988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-12-17 |
| Last Update Date | 2020-12-17 |