NPI | 1164752812 |
---|---|
Doing Business As | ENTRADA SCHOOL BASED HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | TRACY NARVET CFO 719-344-6188 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: CO 18W354) |
Enumeration Date | 2009-12-31 |
Last Update Date | 2018-09-12 |