| NPI | 1841757242 |
|---|---|
| Doing Business As | CARBONDALE MIDDLE SCHOOL HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | CHRISTINA CARNEY CEO 618-956-9521 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2024-04-05 |