| NPI | 1932253895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA M BAILEY President Psychologist 304-242-6988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 1508) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WV 802) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2013-12-06 |