NPI | 1073572350 |
---|---|
Doing Business As | CEDAR COURT SPECIALTY CLINIC |
Entity Type | Organization |
Authorized Contact | FREDERICK BERNSTEIN C.E.O. 618-457-0450 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2006-03-23 |
Last Update Date | 2010-08-30 |