| NPI | 1174745673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDY BRAHAM Office Assistant 304-599-7743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: WV 001) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2022-07-21 |