| NPI | 1710539630 |
|---|---|
| Doing Business As | WASHINGTON DISTRICT 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 |