NPI | 1023874633 |
---|---|
Doing Business As | RIVERSIDE COMMUNITY/SCHOOL BASED HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | JESSICA BRITTANY COLEMAN Rcm 937-599-1411 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2024-02-22 |
Last Update Date | 2024-02-22 |