| NPI | 1669793287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY LOUISE VANDERGRIFT President 304-367-8743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health (Licence: WV 1034-6686) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2010-06-17 |