NPI | 1962709980 |
---|---|
Doing Business As | JANE ADDAMS HS - SCHOOL HEALTH |
Entity Type | Organization |
Authorized Contact | SAMUEL DELEON VP/Cmo Medical Affairs 718-589-2440 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2011-02-28 |
Last Update Date | 2011-02-28 |