NPI | 1114640885 |
---|---|
Doing Business As | BREVARD HEALTH ALLIANCE |
Entity Type | Organization |
Authorized Contact | ANGELA CRAIG Director Of Billing 321-241-6834 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2022-09-19 |
Last Update Date | 2023-01-24 |