| NPI | 1710518618 |
|---|---|
| Doing Business As | MCR HEALTH SOUTHEAST HIGH SCHOOL |
| Entity Type | Organization |
| Authorized Contact | MELVIN B PRICE President & CEO 941-776-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2023-11-28 |