| NPI | 1518153089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ANN SKOLIK President/CEO 304-525-1404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: WV 15984) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2008-04-15 |