| NPI | 1801219969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES PATRICK WARD Psycholgy 304-865-0274 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 1723) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WV 1723) |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2016-08-11 |