| NPI | 1861562126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET ANNETTE SANTILLI Manager 304-457-1670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry |
| 251K00000X Public Health or Welfare | |
| 251S00000X Community/Behavioral Health | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2022-07-21 |