| NPI | 1194339309 |
|---|---|
| Doing Business As | UPSHUR COUNTY PALS WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | DORA L POTASNIK Credentialing Coordinator 304-317-7275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2020-09-04 |