| NPI | 1992319560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LA TASHA AL-JARBOUA Owner/CEO 304-237-8733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-11-17 |