| NPI | 1912435678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES L HEAGY Owner, Provider 304-639-8140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV 707054) |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2022-07-21 |