| NPI | 1518164037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGERY CLARKE Program Director 304-741-1341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital Critical Access |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2020-08-22 |