NPI | 1356986509 |
---|---|
Doing Business As | MANUAL HIGH SCHOOL SBHC DENTAL SERVICE |
Entity Type | Organization |
Authorized Contact | APRIL AUDAIN Chief Financial Officer 303-602-4965 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2019-11-12 |
Last Update Date | 2025-01-16 |