| NPI | 1821875147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE BLUME Managing Member/Clinical Director 304-207-0250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2024-09-04 |