NPI | 1609555218 |
---|---|
Doing Business As | GODWIN HEIGHTS SENIOR HIGH SCHOOL HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | TASHA BLACKMON CEO 616-965-8200 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 101Y00000X Counselor |
101YS0200X Counselor, School | |
104100000X Social Worker | |
1041C0700X Social Worker, Clinical | |
1041S0200X Social Worker, School | |
122300000X Dentist | |
124Q00000X Dental Hygienist | |
125J00000X Dental Therapist | |
126800000X Dental Assistant | |
133V00000X Dietitian, Registered | |
152W00000X Optometrist | |
163WS0200X Registered Nurse, School | |
207Q00000X Family Medicine | |
208000000X Pediatrics | |
Enumeration Date | 2023-07-12 |
Last Update Date | 2023-07-12 |