| NPI | 1346543790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF V. ROBERTS Administrator 304-654-1553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2010-12-07 |