| NPI | 1427063098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA Z. PINSON President 304-529-7004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WV 19273) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: OH 35081940) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2007-10-26 |