NPI | 1700252764 |
---|---|
Doing Business As | SIMPSON ELEMENTARY SCHOOL WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | DORA L POTASNIK Credentialing 304-587-2541 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2015-08-13 |
Last Update Date | 2015-08-18 |