NPI | 1114341963 |
---|---|
Doing Business As | THOMAS JEFFERSON HIGH SCHOOL SBHC |
Entity Type | Organization |
Authorized Contact | ANSAR HASSAN CFO 303-602-7083 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2014-02-14 |
Last Update Date | 2023-10-02 |