NPI | 1508437336 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL HASSING CEO 304-263-4999 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2021-07-02 |
Last Update Date | 2021-07-02 |