| NPI | 1609974641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOUHANNAD AZZOUZ Owner 304-598-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WV WV20408) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2015-10-07 |