| NPI | 1033824180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET HICKEY CEO 304-226-5725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2023-01-23 |