| NPI | 1518060581 |
|---|---|
| Doing Business As | EAST FAIRMONT WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | M RAYMOND ALVAREZ Interim CEO 304-367-8740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2025-07-08 |