| NPI | 1063692333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY ALAN HAYES Managing Member 304-842-9887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: WV 0420593001) |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2009-03-25 |