NPI | 1679053946 |
---|---|
Other Name | SBHC GRANTS PASS HIGH SCHOOL |
Entity Type | Organization |
Authorized Contact | RICHARD BOOTH CEO 541-471-3455 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2018-08-16 |
Last Update Date | 2021-10-06 |