| NPI | 1417499005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA M LINK Owner 304-786-1007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: WV 96217) |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2016-11-14 |