| NPI | 1023503927 |
|---|---|
| Doing Business As | FANNIE LOU HAMER |
| Entity Type | Organization |
| Authorized Contact | PALOMA HERNANDEZ President And CEO 718-589-2440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NY 02994952) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-06-25 |