NPI | 1629392576 |
---|---|
Doing Business As | SOUTH REDFORD SCHOOL BASED HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | LESLEY WILLBRANDT Authorized Official 947-522-1911 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2010-03-22 |
Last Update Date | 2020-10-30 |