| NPI | 1831246362 |
|---|---|
| Doing Business As | COLLINS MIDDLE SCHOOL WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | JOHN R. SCHULTZ Executive Director 304-469-2905 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: WV 1036-9138) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: WV 819778) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2013-04-11 |