NPI | 1982379335 |
---|---|
Doing Business As | DAVID RAINES SCHOOL BASED HEALTH CENTER-WALNUT HILL |
Entity Type | Organization |
Authorized Contact | WILLIE C. WHITE Chief Executive Officer 318-227-3342 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2021-08-09 |
Last Update Date | 2021-08-09 |