| NPI | 1013100809 |
|---|---|
| Other Name | GUADALUPE ALTERNATIVE PROGRAM(GAP) CLINIC |
| Entity Type | Organization |
| Authorized Contact | MAVIS CAROL BREHM Executive Director 651-602-7536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2008-06-18 |