NPI | 1174709950 |
---|---|
Doing Business As | LOGAN HEIGHTS FAMILY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | RICARDO ROMAN CFO 619-515-2300 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2008-01-11 |
Last Update Date | 2024-02-20 |