| NPI | 1972041689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTA ALANE BARNETTE Owner 304-395-4362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: WV 2335-5357) |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2017-02-02 |