| NPI | 1841593365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN PUIG President 540-535-1112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: WV 1864) |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 261QC1500X Clinic/Center Community Health | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2018-08-09 |