NPI | 1497295604 |
---|---|
Other Name | CHARLOTTE SCHOOLS WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | JERRY FORD CEO 802-857-0400 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2017-03-07 |
Last Update Date | 2017-03-07 |