| NPI | 1063842441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE MICHAEL HINCHMAN CEO 304-335-2050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2013-11-20 |
| Last Update Date | 2013-11-20 |