NPI | 1558654145 |
---|---|
Doing Business As | LEWISTON MIDDLE SCHOOL BASED HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | COLEEN L ELIAS CEO/CFO 207-513-3897 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2011-05-16 |
Last Update Date | 2020-10-22 |