| NPI | 1366723975 |
|---|---|
| Doing Business As | LOGAN WILDCAT HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | LISA LEACH CEO 304-824-5806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2023-03-08 |