| NPI | 1326697053 |
|---|---|
| Doing Business As | VAN PELT ELEMENTARY SCHOOL |
| Entity Type | Organization |
| Authorized Contact | JOSEPH BRYAN HAYNES CEO 276-496-4492 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2021-06-07 |