| NPI | 1740417401 |
|---|---|
| Doing Business As | NEW RIVER INTERMEDIATE SCHOOL BASED HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | MARISSA JOHNSON Credentialing Officer 304-469-2905 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: WV 1036-9138) |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2023-10-09 |