| NPI | 1518680511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY-BETH N. BRUBECK Vice President Of Finance / CFO 304-525-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2022-09-23 |