| NPI | 1316475403 |
|---|---|
| Doing Business As | SIERRA VISTA SCHOOL BASED CLINIC |
| Entity Type | Organization |
| Authorized Contact | HEATHER RECTOR Credentialing Specialist Ii 505-747-5946 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2023-06-07 |