NPI | 1639474562 |
---|---|
Entity Type | Organization |
Authorized Contact | NORMAN EDWARD GLASSER Business Manager 304-645-1890 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WV 183500000X) |
Enumeration Date | 2011-01-25 |
Last Update Date | 2011-01-25 |