NPI | 1376116541 |
---|---|
Doing Business As | GRAYSVILLE ELEMENTARY SCHOOL |
Entity Type | Organization |
Authorized Contact | WILLIAM MOATS President/CEO 423-338-8995 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2021-07-23 |
Last Update Date | 2021-07-23 |