NPI | 1760906630 |
---|---|
Doing Business As | DAVID RAINES SCHOOL BASED HEALTH CENTER-WOODLAWN |
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 | 2017-08-01 |
Last Update Date | 2023-09-25 |