| NPI | 1801283882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIMEE MICHELLE COLEGROVE President/Healthcare Provider 304-475-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2021-06-30 |