| NPI | 1821218736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH DEPETRO Health Officer 304-737-3665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: WV 17078) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2023-01-17 |