NPI | 1215702576 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIE KNICELY VP Corp Dev 304-273-8090 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
207R00000X Internal Medicine | |
363LA2100X Nurse Practitioner, Acute Care | |
Enumeration Date | 2023-11-16 |
Last Update Date | 2023-11-16 |