| NPI | 1912436858 |
|---|---|
| Doing Business As | PHOENIX SCHOOL BASED HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | ALAN J. WENGROFSKY Vice President Of Finance And CFO 212-545-2439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NY 7002119R) |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2017-06-05 |