| NPI | 1699845420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH J. GRIFFITH Chief Executive Officer 304-265-0312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2024-11-07 |