| NPI | 1801337100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL A. SPEIS Owner 304-820-9365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV DP00942760) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |