| NPI | 1548314230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURUVILLA JOHN President 304-767-7880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: WV 16097) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |