| NPI | 1710317276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY GIAQUINTO Controller 304-969-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital |
| 363LF0000X Nurse Practitioner Family | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2013-11-20 |
| Last Update Date | 2014-06-06 |