NPI | 1558481606 |
---|---|
Other Name | SBHC BROAD ACRES ES |
Doing Business As | BROAD ACRES SCHOOL BASED HEALTH CLINIC |
Entity Type | Organization |
Authorized Contact | JAMEELAH JOHNSON Medical Records 240-733-1121 |
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 | 2024-09-04 |