| NPI | 1194338244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J CLAY CEO 304-372-1030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2021-12-02 |