NPI | 1235877267 |
---|---|
Doing Business As | DAVIS & ELKINS COLLEGE WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | HILLARY TENNEY Credentialing Coortinator 304-317-7425 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2022-05-20 |
Last Update Date | 2022-05-20 |