NPI | 1033854583 |
---|---|
Other Name | VHP COMMUNITY SMILES AT 6TH STREET |
Entity Type | Organization |
Authorized Contact | LOUIS FINNERTY Adminstrator 570-614-3705 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2022-04-29 |
Last Update Date | 2023-07-03 |