| NPI | 1114003084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS RAY EITEL Physician 336-978-4618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WV 21057) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-08-22 |