NPI | 1003287731 |
---|---|
Doing Business As | ALICE COACHMAN ELEMENTARY SCHOOL-BASED HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | SHELLEY SPIRES CEO 229-888-6559 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2015-10-07 |
Last Update Date | 2016-06-30 |