NPI | 1164769782 |
---|---|
Doing Business As | HEALTH CENTER AT ACADEMY SUITE 3100 |
Entity Type | Organization |
Authorized Contact | CINDY PRATT Chief Financial Officer 719-344-6188 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2013-01-16 |
Last Update Date | 2021-05-18 |