NPI | 1235316027 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY EVAN KRAUSE President 304-424-4150 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: WV WV20217) |
Enumeration Date | 2008-01-24 |
Last Update Date | 2008-06-03 |