| NPI | 1013550904 |
|---|---|
| Doing Business As | MCR HEALTH SOUTHEAST HIGH SCHOOL |
| Entity Type | Organization |
| Authorized Contact | MELVIN B PRICE CEO/President 941-776-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2023-11-27 |