| NPI | 1225107816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE FAYE WILLIAMS Therapist 304-296-1731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: WV DP00939822) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-08-22 |