| NPI | 1972871358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY M REDMAN Chief Financial Officer 304-256-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: WV 8) |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |