| NPI | 1760789093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD O AJAYI Owner 304-797-6410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WV 20859) |
| Enumeration Date | 2011-02-23 |
| Last Update Date | 2022-10-13 |