NPI | 1063439065 |
---|---|
Doing Business As | FAMILY ORIENTED PRIMARY HEALTH CARE CLINIC, INC. |
Entity Type | Organization |
Authorized Contact | KELLY WARREN Executive Director 251-690-8158 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2006-07-16 |
Last Update Date | 2021-04-29 |