| NPI | 1285498089 |
|---|---|
| Doing Business As | PEABODY MONTESSORI ELEMENTARY SCHOOL BASED CLINIC |
| Entity Type | Organization |
| Authorized Contact | DAVID ADAMS COO 318-648-0375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2024-02-12 |