| NPI | 1790390839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | C C A Chief Operating Officer 304-893-9777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2026-04-27 |