NPI | 1700900818 |
---|---|
Doing Business As | JEFFERSON SCHOOL BASED HEALTH AND WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | AMY YOKUM CEO 304-643-4005 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2007-03-16 |
Last Update Date | 2023-05-09 |