| NPI | 1932444221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRENCE EUGENE RUSIN President/CEO 304-344-8515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WV 23697) |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2012-11-28 |