NPI | 1023855012 |
---|---|
Doing Business As | PUREVIEW CLUBHOUSE |
Entity Type | Organization |
Authorized Contact | MARINA KUNTZ CFO 406-500-2139 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2024-07-09 |
Last Update Date | 2024-07-09 |