NPI | 1669085742 |
---|---|
Doing Business As | COFFEE COUNTY HIGH SCHOOL |
Entity Type | Organization |
Authorized Contact | ROBERT BONDS TUCKER CEO 229-468-9166 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2020-08-28 |
Last Update Date | 2024-11-26 |