NPI | 1104331719 |
---|---|
Doing Business As | CENTRAL ELEMENTARY SCHOOL BASED HEALTH CLINIC |
Entity Type | Organization |
Authorized Contact | CHAD STEVENS Authorized Official 606-526-9005 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2017-12-05 |
Last Update Date | 2024-06-28 |