| NPI | 1043484629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMERON DEWAYNE DUFFY Chief Financial Officer 304-267-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: WV 19195) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-04-15 |