NPI | 1083019905 |
---|---|
Doing Business As | PEOPLE'S COMMUNITY CLINIC OFF-SITE CLINIC AT MANOR |
Entity Type | Organization |
Authorized Contact | REGINA ROGOFF Chief Executive Officer 512-684-1721 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2014-11-04 |
Last Update Date | 2018-11-19 |