| NPI | 1144316324 |
|---|---|
| Doing Business As | MONTGOMERY COUNTY SCHOOL BASED HEALTH CENTER-EAST |
| Entity Type | Organization |
| Authorized Contact | MICKEY FOSTER CEO 910-715-4473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LS0200X Nurse Practitioner, School |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-03 |