| NPI | 1487269254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MARTIN Owner 304-940-1395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-09-09 |