| NPI | 1568889525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN TRIPPETT CEO 304-485-1721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251S00000X (Licence: WV 23) |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2017-06-09 |