| NPI | 1659497196 |
|---|---|
| Other Name | CARBONDALE COMMUNITY HIGH |
| Entity Type | Organization |
| Authorized Contact | STEVE R KOSCO Financial Officer 618-457-4722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |