| NPI | 1851047385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MEADE Owner 304-688-9269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2022-02-23 |
| Last Update Date | 2022-02-23 |