| NPI | 1184705907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIZA A LIRIO Vice President 304-253-8336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 208800000X Urology |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2025-09-11 |