| NPI | 1831243930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE CARTE Nurse Manager 304-388-2536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: WV 20979) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2009-05-04 |