| NPI | 1164446753 |
|---|---|
| Doing Business As | SCHOOL BASE CLINIC |
| Entity Type | Organization |
| Authorized Contact | SUSAN STIEGLER Director, Patient Billing 251-690-8833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-08-22 |