| NPI | 1831237759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAIRE M CAVENEY Secretary Treasurer 304-243-1050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: WV 12546) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2012-10-22 |