NPI | 1154591345 |
---|---|
Entity Type | Organization |
Authorized Contact | DANITA HENSON Operations Manager 717-230-3906 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2008-03-04 |
Last Update Date | 2018-03-17 |