| NPI | 1053598565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN R SUTHERLAND Owner 740-382-4121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35-053397) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2011-02-03 |