| NPI | 1184807471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANN MARTIN President/Owner 304-522-1787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: WV 423) |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2007-12-10 |