| NPI | 1831639236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE J DAVIS Therapist/Owner 740-310-7256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WV 1849) |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2017-03-03 |