NPI | 1144604877 |
---|---|
Doing Business As | LITTLE CREEK FAMILY MEDICAL CENTER |
Entity Type | Organization |
Authorized Contact | BARBARA WILLIS CEO 757-393-6363 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2015-07-13 |
Last Update Date | 2020-01-22 |