| NPI | 1043235914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA Z MILLER Administrator 304-369-7967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: N/A) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-08-22 |