NPI | 1972784262 |
---|---|
Doing Business As | PSYCHSOLUTIONS4WV |
Doing Business As | HEALTHCARE TRAVELERS |
Entity Type | Organization |
Authorized Contact | LORETTA ANN BOSTIC President 304-208-0707 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2007-11-15 |
Last Update Date | 2024-03-01 |