| NPI | 1003301912 |
|---|---|
| Doing Business As | FAYETTEVILLE PK-8 SCHOOL BASED HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | MARISSA JOHNSON Credentialing Officer 304-469-2905 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2023-10-09 |