| NPI | 1144575044 |
|---|---|
| Doing Business As | SAN JON SCHOOL BASED CLINIC |
| Entity Type | Organization |
| Authorized Contact | PATTI HARRELSON Director 575-562-4455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251300000X Local Education Agency (LEA) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2012-07-17 |