| NPI | 1225378094 |
|---|---|
| Other Name | KHS SCHOOL-BASED HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | JEANETTE KREUZ Assistant Superintendent 815-802-7752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2013-02-15 |