NPI | 1982328548 |
---|---|
Entity Type | Organization |
Authorized Contact | CRAIG GLOVER CEO/President 304-757-6999 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207W00000X Ophthalmology |
Enumeration Date | 2022-09-28 |
Last Update Date | 2022-09-28 |