NPI | 1467967588 |
---|---|
Doing Business As | LIVE OAK ELEMENTARY SCHOOL-BASED HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | SHELLEY SPIRES CEO 229-888-6559 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2017-12-12 |
Last Update Date | 2017-12-12 |