| NPI | 1386274181 |
|---|---|
| Doing Business As | HAYNES ACADEMY SBHC |
| Entity Type | Organization |
| Authorized Contact | MARK KEISER CEO 866-530-6111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2023-07-25 |