| NPI | 1285147173 |
|---|---|
| Doing Business As | EASTLAKE HIGH SCHOOL |
| Entity Type | Organization |
| Authorized Contact | WILLIAM DAVID SCHLESINGER CEO 915-533-7057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2020-03-25 |