| NPI | 1174713382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LETA M MORGAN Controller 304-536-4870 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WV 00050) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2008-01-09 |