| NPI | 1043968894 |
|---|---|
| Doing Business As | STUDENT HEALTH AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | RENEE WALLS Interim Director 870-230-5102 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2022-03-11 |
| Last Update Date | 2022-03-15 |