NPI | 1538167564 |
---|---|
Doing Business As | QUTIMAN COUNTY SCHOOL BASED CLINIC |
Entity Type | Organization |
Authorized Contact | AURELIA TAYLOR Cheif Executive Officer 662-624-4292 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2005-07-13 |
Last Update Date | 2020-06-01 |