| NPI | 1407180888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY EVAN KRAUSE Owner 304-916-1270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: WV 99GQ3) |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2016-09-28 |