| NPI | 1932868577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER HAHN Operations 304-822-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-12-10 |
| Last Update Date | 2021-12-10 |