| NPI | 1447008909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DONOVAN BECKETT CEO 304-236-5902 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-05-09 |
| Last Update Date | 2024-05-09 |