NPI | 1811404056 |
---|---|
Doing Business As | SWANSEA ELEMENTARY SCHOOL BASED CLINIC |
Entity Type | Organization |
Authorized Contact | PEGGY J BURNETTE Chief Financial Officer 303-602-4964 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2018-01-09 |
Last Update Date | 2018-01-09 |