| NPI | 1144317082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILFREDO NAVA MOLANO Physician/Administrator 304-562-3331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WV 10473) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2008-03-12 |