| NPI | 1629241880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA LYNETTE HAMM Owner/Physician 304-645-7503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2008-07-09 |