| NPI | 1871846519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL MARIE CZAJKA Clinical Social Worker/Owner 304-685-4631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WV DP00940332) |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2012-10-18 |