| NPI | 1568296051 |
|---|---|
| Doing Business As | PREMIA CENTER |
| Entity Type | Organization |
| Authorized Contact | ANGELO GIOLZETTI Member 304-413-6449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2024-08-28 |
| Last Update Date | 2024-08-28 |