| NPI | 1891116901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA JONES Director 304-292-8234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WV 82090) |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2013-12-17 |