| NPI | 1376815548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAVDEEP S PUREWAL Md/Owner 304-670-0579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WV 21993) |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2012-02-03 |