| NPI | 1730319930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY ELIZABETH INGLES CEO 304-302-2078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WV 19772) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2009-07-22 |