| NPI | 1417250341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY E KRAUSE Owner 304-916-1270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: OH 1965238) |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2016-09-28 |