NPI | 1558925339 |
---|---|
Doing Business As | MABEL BRASHER ELEMENTARY SCHOOL |
Entity Type | Organization |
Authorized Contact | DEANO THORNTON CEO 318-648-0375 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2019-04-26 |
Last Update Date | 2022-07-20 |