| NPI | 1760473425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH JEFFERDS SINCLAIR Authorized Official 304-343-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WV 1351) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2025-05-19 |