NPI | 1962977173 |
---|---|
Doing Business As | PATHS JOHNSON SCHOOL PROJECT |
Entity Type | Organization |
Authorized Contact | MARSHA MENDENHALL Interim CEO 434-791-3630 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2018-10-04 |
Last Update Date | 2023-09-06 |