| NPI | 1336501501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL A BEAM Administrator 304-462-7351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: WV 9135) |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2016-03-25 |