NPI | 1730469594 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA HOLMES WHITE Executive Director 304-414-5911 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: WV 08954) |
Enumeration Date | 2011-08-25 |
Last Update Date | 2011-08-25 |