| NPI | 1447424569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | I. CRISTINA DEL TORO GORDINHO Officer 304-254-9022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2015-06-24 |