NPI | 1043351166 |
---|---|
Former Legal Business Name | QUALLA YOUTH HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | CYNTHIA KEEFER Program Manager 828-497-6217 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: NC 344572A) |
Enumeration Date | 2007-02-09 |
Last Update Date | 2009-01-16 |