NPI | 1033699921 |
---|---|
Doing Business As | TOOMER SCHOOL BASED |
Doing Business As | WHITEFOORD, INC |
Entity Type | Organization |
Authorized Contact | CRAIG JOHNSON TINDALL CEO 404-693-7565 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2018-08-20 |
Last Update Date | 2023-08-28 |