| NPI | 1114137403 |
|---|---|
| Former Legal Business Name | RICHMOND COMMUNITY SUPPORT ORGANIZATION |
| Entity Type | Organization |
| Authorized Contact | LUCIE GABRIEL Director Of Patient Financial Servi 718-924-2254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NY 2903588) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: NY 7004210R) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2013-09-24 |