| NPI | 1760042394 |
|---|---|
| Doing Business As | DAVID RAINES SCHOOL BASED HEALTH CENTER-OAK PARK |
| Entity Type | Organization |
| Authorized Contact | WILLIE C. WHITE Chief Executive Officer 318-227-3350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2019-06-17 |