| NPI | 1851728646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA N SAYRE Clinical Counselor 304-216-8827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WV 2923) |
| Enumeration Date | 2013-10-11 |
| Last Update Date | 2013-10-11 |