| NPI | 1033518097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA LYNN MCGRAW Family Nurse Practitioner 304-894-8817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: WV 41174) |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2014-08-15 |