| NPI | 1821876483 |
|---|---|
| Doing Business As | JUNIPER HEALTH JACKON CITY SCHOOL |
| Entity Type | Organization |
| Authorized Contact | DERRICK J HAMILTON CEO 606-666-9950 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-09-15 |
| Last Update Date | 2023-09-15 |