NPI | 1114776994 |
---|---|
Doing Business As | TOWANDA LAUREL HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | RONALD MERYL GILBERT Chief Financial Officer 570-828-3869 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2024-05-15 |
Last Update Date | 2024-05-15 |