| NPI | 1437214509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA J THOMAS CEO 304-432-8211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2023-08-16 |