| NPI | 1912913773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA D SPAULDING Owner 304-643-5399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WV 017787) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2014-03-04 |