| NPI | 1033778642 |
|---|---|
| Other Name | KCEAA HEALTH AND WELLNESS CLINIC |
| Entity Type | Organization |
| Authorized Contact | MONICA LEAH MASON Executive Dir, Chief Of Med Service 304-345-2312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2021-08-10 |