NPI | 1184794893 |
---|---|
Doing Business As | SOUTH SBHC |
Entity Type | Organization |
Authorized Contact | ANSAR HASSAN Chief Financial Officer 303-602-7083 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CO 0900) |
Enumeration Date | 2006-11-09 |
Last Update Date | 2023-10-02 |