| NPI | 1114109683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES HUNT Exuctive Director 304-252-8324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2012-05-30 |