NPI | 1538711452 |
---|---|
Doing Business As | UNION ELEMENTARY SCHOOL 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 | 2019-07-11 |
Last Update Date | 2019-07-11 |