| NPI | 1578898938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBYN M MCDANIEL Provider Relations Supervisor 304-293-5033 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2009-10-02 |