| NPI | 1891127205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY E MAGERS Social Work Intern 304-266-6585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2013-08-07 |