| NPI | 1215648548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MARTIN Co Owner 304-237-5051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| 163WI0500X Registered Nurse, Infusion Therapy | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| Enumeration Date | 2022-12-07 |
| Last Update Date | 2023-02-22 |