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 |