| NPI | 1801280011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALA ELAINE MICHELS Thearpist, Owner 304-972-2234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WV CP00942676) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2015-03-25 |