| NPI | 1013551100 |
|---|---|
| Other Name | SBHC- WEAVER ELEMENTARY |
| Entity Type | Organization |
| Authorized Contact | CARL ISIAH WALTERS CEO 318-357-2055 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2019-10-31 |