| NPI | 1659772598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | D PARKER HADDIX CEO 304-269-1210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: WV 10479769) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2014-09-12 |