NPI | 1104549484 |
---|---|
Doing Business As | BREVARD HEALTH ALLIANCE |
Entity Type | Organization |
Authorized Contact | ANGELA CRAIG Director Of Billing 321-698-3446 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2022-09-22 |
Last Update Date | 2022-12-19 |