| NPI | 1104447937 |
|---|---|
| Other Name | CENTENARY FAMILY & URGENT CARE |
| Entity Type | Organization |
| Authorized Contact | INITA MICHELLE GRIFFIN Admin 469-949-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-05-04 |
| Last Update Date | 2023-08-14 |