| NPI | 1487675336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARVEEN RIAZ Sec/Treasurer 304-952-8637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 41818) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2015-06-25 |