| NPI | 1144079872 |
|---|---|
| Doing Business As | DAVID RAINES SCHOOL BASED HEALTH CENTER-BROADMOOR STEM ACADEMY |
| Entity Type | Organization |
| Authorized Contact | WILLIE C WHITE Chief Executive Officer 318-723-7242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-05-15 |
| Last Update Date | 2024-05-15 |