| NPI | 1982056404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMED D FAHEEM Managing Partner 304-252-4433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WV 2322-8649) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WV 2322-8649) |
| 103TC0700X Psychologist, Clinical (Licence: WV 2322-8649) | |
| 363A00000X Physician Assistant (Licence: WV 2322-8649) | |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2016-07-08 |