| NPI | 1639986680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES HUNT CEO 304-252-8324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-12-13 |
| Last Update Date | 2024-12-13 |