| NPI | 1659156982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG GLOVER President/CEO 304-760-6316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-08-25 |
| Last Update Date | 2023-08-25 |