NPI | 1770375206 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTIANNE S. CONNELLY Owner, Employee 304-278-6160 |
Organization Subpart ? | No |
Primary Taxonomy | 103TH0100X Psychologist, Health Service |
Additional Taxonomies | 103TC1900X Psychologist, Counseling |
Enumeration Date | 2025-05-20 |
Last Update Date | 2025-05-20 |