| NPI | 1033516646 |
|---|---|
| Doing Business As | BLACK DIAMOND HEALTHCARE SERVICES |
| Entity Type | Organization |
| Authorized Contact | MICHAEL L FERREBEE Sole Owner 304-319-0841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WV 18262) |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2014-11-25 |