| NPI | 1881305118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MARTIN Co Owner 304-237-5051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2022-12-07 |
| Last Update Date | 2022-12-07 |