| NPI | 1821981234 |
|---|---|
| Doing Business As | SOUTHSIDE MEDICAL CENTER SCHOOL BASED HEALTH CENTER AT LEE ELEMENTARY SCHOOL |
| Entity Type | Organization |
| Authorized Contact | MASRESHA KASSA CFO 404-688-1350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2025-06-03 |
| Last Update Date | 2025-07-10 |