NPI | 1043209919 |
---|---|
Doing Business As | LONGVIEW CARE CLINIC |
Entity Type | Organization |
Authorized Contact | SHAUN'TA WHITEHEAD Executive Director 903-234-0776 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2005-10-13 |
Last Update Date | 2024-08-20 |