NPI | 1811196959 |
---|---|
Doing Business As | MARTIN LUTHER KING MIDDLE SCHOOL SBHC |
Entity Type | Organization |
Authorized Contact | ANSAR HASSAN Chief Financial Officer 303-602-7083 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: CO 0401) |
Enumeration Date | 2007-07-17 |
Last Update Date | 2023-10-10 |