NPI | 1457846362 |
---|---|
Doing Business As | NEW RIVER PRIMARY SCHOOL BASED HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | MARISSA JOHNSON Credentialing Officer 304-469-2905 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2018-06-25 |
Last Update Date | 2023-10-09 |