| NPI | 1073506465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES HUNT CEO 304-252-2324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2024-08-07 |