| NPI | 1396089355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACI LYNN MORRIS Np C Owner 304-860-1991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WV 72596) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |