| NPI | 1184620841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERSHEL CHAFIN CEO 304-583-6541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2007-07-17 |