| NPI | 1467027482 |
|---|---|
| Doing Business As | SOUTHSIDE MEDICAL CENTER SCHOOL BASED HEALTH CENTER AT KIPP VISION |
| Entity Type | Organization |
| Authorized Contact | CLAUDIO AZZARITI CFO 404-564-7009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2021-10-13 |