NPI | 1083327456 |
---|---|
Doing Business As | SAFE HARBOR MEDICAL |
Entity Type | Organization |
Authorized Contact | TINA A ALICEA CEO 702-870-8852 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2023-01-02 |
Last Update Date | 2024-03-04 |