NPI | 1740578897 |
---|---|
Doing Business As | OWL CREEK SCHOOL BASED HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | JAMES SEMINGSON CEO 479-751-7417 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2011-07-11 |
Last Update Date | 2020-01-15 |