| NPI | 1497855811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM A. OURS Administrator 304-530-6355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: WV NA) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2012-10-22 |