| NPI | 1104583962 |
|---|---|
| Doing Business As | WILDCAT WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | SUSAN D JOHNSTON CIO 870-798-4064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2021-11-29 |