NPI | 1033755392 |
---|---|
Doing Business As | STRIDE CHC - UNION SQUARE HEALTH PLAZA DENTAL CLINIC |
Entity Type | Organization |
Authorized Contact | YOLANDA TREVINO Patient Accounts Manger 303-761-2153 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2019-11-21 |
Last Update Date | 2020-03-10 |