| 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 |