| NPI | 1235259938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH F HARDY CEO 304-598-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: WV 17968) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2009-11-10 |