| NPI | 1235720582 |
|---|---|
| Doing Business As | MFHC BASALT ELEMENTARY SBHC |
| Entity Type | Organization |
| Authorized Contact | ROSS BROOKS CEO 970-928-1609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2021-01-29 |