NPI | 1578181061 |
---|---|
Doing Business As | FAMILY WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | JOHN ROTH CEO 814-635-7351 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2020-07-10 |
Last Update Date | 2021-04-22 |