| NPI | 1740305275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE O OTHMAN President 304-647-3040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WV 15411) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2014-09-25 |