| NPI | 1285793430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY HARRISON PAULEY Practice Administrator 304-526-9189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2007-11-21 |