| NPI | 1255081675 |
|---|---|
| Doing Business As | DIAGNOSTIC AT LAUREL PARK |
| Entity Type | Organization |
| Authorized Contact | SCOTT MAYER Cqi Specialist 304-622-1907 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2022-03-28 |