| NPI | 1982434619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN RADCLIFF Owner, Provider 304-944-9346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2024-08-06 |
| Last Update Date | 2024-10-08 |