| NPI | 1295495984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIE L PYSZ Member 304-673-8314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2021-12-22 |
| Last Update Date | 2022-04-19 |