NPI | 1043392020 |
---|---|
Doing Business As | LAUREL HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | RONALD MERYL GILBERT CFO 570-662-1955 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2006-10-19 |
Last Update Date | 2018-12-06 |