| NPI | 1386025765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER M. ALBRIGHT Manager 304-579-4784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WV 23918) |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: WV 23918) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2016-02-22 |