| NPI | 1891873683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAI LOUISE SMYTHE President/Owner 304-720-2017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: WV 20569) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-02-08 |