NPI | 1407617871 |
---|---|
Entity Type | Organization |
Authorized Contact | ZACHARY T MILLER CEO 304-534-7054 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2024-01-22 |
Last Update Date | 2024-01-22 |