| NPI | 1720273170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK S. RAINES Psychiatrist 304-257-1155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WV 14000) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2007-09-10 |