| NPI | 1801815733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE JORGE GORDINHO President 304-254-9022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: WV Pending) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2007-08-29 |