| NPI | 1609299908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT GOODWIN Owner 304-441-2001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility (Licence: WV 2232-1458) |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2014-01-23 |