NPI | 1205096039 |
---|---|
Doing Business As | BRANDON WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | ERIC A RUF Executive Director 304-823-1333 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2008-06-16 |
Last Update Date | 2022-01-13 |