| NPI | 1124321880 |
|---|---|
| Doing Business As | PEDIATRIC HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | RYAN SPILLANE Chief Financial Officer 719-344-7135 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2023-03-06 |