| NPI | 1780877548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULINE L. MILEY Manager 304-645-5185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WV 21743) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2008-01-28 |