NPI | 1013154657 |
---|---|
Doing Business As | SUSAN'S PLACE HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | JOHN CHUE Chief Financial Officer 212-366-4459 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NY 7000279R) |
Enumeration Date | 2009-01-20 |
Last Update Date | 2024-05-10 |