| NPI | 1164842050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MASSERAE E. SPRAUVE-WEBSTER Executive Director 340-772-1992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2014-04-18 |