NPI | 1104485374 |
---|---|
Doing Business As | CAREVIDE |
Entity Type | Organization |
Authorized Contact | MICHELLE P CARTER CEO 903-455-5986 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2019-06-11 |
Last Update Date | 2024-06-17 |