| NPI | 1144435827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERI WHITTEN Education Coordinator 304-388-1563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |