| NPI | 1487428009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA THOMPSON CEO 304-897-5915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-11-14 |
| Last Update Date | 2023-11-14 |