| NPI | 1770147597 |
|---|---|
| Doing Business As | MABEL BRASHER ELEMENTARY SCHOOL BASED CLINIC |
| Entity Type | Organization |
| Authorized Contact | DEANO THORNTON CEO 318-648-0375 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2019-06-26 |