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 |