| NPI | 1881583508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN BOLIAN Therapist 304-484-4163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2025-06-30 |
| Last Update Date | 2025-07-25 |