| NPI | 1285647982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELENO H WEBB Owner 304-525-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P2900X Psychiatry & Neurology, Pain Medicine |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2013-01-22 |