NPI | 1447618327 |
---|---|
Doing Business As | FAMILYCARE HEALTHCENTER |
Entity Type | Organization |
Authorized Contact | JULIE DIANNE RAY Credentialing Specialist 304-757-6999 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WV 23242347) |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: WV H80CS00827) |
Enumeration Date | 2016-02-05 |
Last Update Date | 2022-05-24 |