| NPI | 1457357261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFREDO A AGUIRRE Owner 304-218-2023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WV 16918) |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2021-03-23 |