| NPI | 1508064510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HASSING CEO 304-263-4999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2020-07-30 |