| NPI | 1992923734 |
|---|---|
| Former Legal Business Name | CENTER FOR ALTERNATIVE MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JOHN PATRICK MACCALLUM Physician 304-757-3368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WV 10463012) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WV 10463012) |
| 1041C0700X Social Worker, Clinical (Licence: WV 10463012) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2011-11-18 |