NPI | 1558481606 |
---|---|
Doing Business As | BROAD ACRES SCHOOL BASED HEALTH CLINIC |
Other Name | SBHC BROAD ACRES ES |
Entity Type | Organization |
Authorized Contact | DIANA AZUCENA CORTEZ Management 240-672-6758 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 261QP0905X Clinic/Center, Public Health, State or Local |
Enumeration Date | 2007-03-30 |
Last Update Date | 2025-09-09 |