| NPI | 1891954384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JOHN HUMPHREYS President 304-526-9189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WV 14902) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-13 |