| NPI | 1790390839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN RIPA Chief Operating Officer 304-488-7038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2020-09-15 |