| NPI | 1417316415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA JOY WORKMAN Referral Clerk/Rece PT Ionist 304-399-6833 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: WV WV 19564) |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2016-02-18 |