| NPI | 1619513215 |
|---|---|
| Other Name | SIKESTON ALTERNATIVE EDUCATION CENTER CLINIC |
| Entity Type | Organization |
| Authorized Contact | SARA DEANE Chief Financial Officer 573-313-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2020-04-14 |