NPI | 1780248427 |
---|---|
Doing Business As | IDEA OSCAR DUNN ACADEMY AND COLLEGE PREP |
Entity Type | Organization |
Authorized Contact | MARILYN BROWN ANTWINE COO/Co 225-642-9676 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2019-04-29 |
Last Update Date | 2019-04-29 |