NPI | 1972371714 |
---|---|
Doing Business As | PHC CS PORTER MIDDLE SCHOOL |
Entity Type | Organization |
Authorized Contact | BRYAN CHALMERS CFO 406-258-4445 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2023-12-12 |
Last Update Date | 2023-12-12 |