| NPI | 1225439466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEL C SHAW-NIEVES CEO 740-635-7757 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35065030) |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2014-09-08 |