| NPI | 1922787456 |
|---|---|
| Doing Business As | CENTURY HIGH SCHOOL |
| Entity Type | Organization |
| Authorized Contact | AMELIA MURPHY Medical Staff Coordinator 208-232-7862 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2023-07-12 |