| NPI | 1508286378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA SUE SANDERS Administrator 304-636-0396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: WV 12283) |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2014-04-21 |