| NPI | 1992755789 |
|---|---|
| Doing Business As | CLAY COUNTY HIGH SCHOOL WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | DORA L POTASNIK Credentialing Coordinator 304-317-7275 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: WV 2267-4838) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2020-09-08 |