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 |