| NPI | 1982172367 |
|---|---|
| Doing Business As | BELLINGRATH SCHOOL BASED CLINIC |
| Entity Type | Organization |
| Authorized Contact | ANDREA SHIELDS Credentialing Specialist 334-420-5001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2018-11-05 |