NPI | 1124807177 |
---|---|
Doing Business As | JUNIPER HEALTH BREATHITT ELEMENTARY |
Entity Type | Organization |
Authorized Contact | DERRICK J HAMILTON CEO 606-666-9950 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2023-09-27 |
Last Update Date | 2023-09-27 |