NPI | 1811664378 |
---|---|
Doing Business As | PARKERSBURG HIGH SCHOOL WELLNESS CENTER |
Doing Business As | WIRT COUNTY HEALTH SERVICES ASSOCIATION, INC/PARKERSBURG FAMILY CARE D |
Entity Type | Organization |
Authorized Contact | BRENDA BENNETT Credentialing 304-275-3301 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2021-08-24 |
Last Update Date | 2021-08-24 |