| NPI | 1487145769 |
|---|---|
| Doing Business As | WEST VIRGINIA WESLEYAN COLLEGE WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | DORA L POTASNIK Credentialing Coordinator 304-561-5319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2018-05-23 |