| NPI | 1013186717 |
|---|---|
| Other Name | MIDTOWN COMMUNITY HEALTH CENTER CHILDREN'S CLINIC |
| Entity Type | Organization |
| Authorized Contact | SONJA M LEVESQUE CFO 801-334-1327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2010-01-06 |