| NPI | 1851359251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA THOMPSON CEO 304-897-5915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 208D00000X General Practice |
| 363A00000X Physician Assistant | |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| 122300000X Dentist | |
| 124Q00000X Dental Hygienist | |
| 207Q00000X Family Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2022-11-14 |