NPI | 1013131804 |
---|---|
Other Name | BARBARA MCINNIS HOUSE |
Entity Type | Organization |
Authorized Contact | AGNES W LEUNG Chief Financial Officer 857-654-1200 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: MA 4681) |
Enumeration Date | 2007-04-12 |
Last Update Date | 2018-05-24 |