NPI | 1184909103 |
---|---|
Other Name | BROOKWOOD HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | GABRIELA BERNAL-LEROI Chief Executive Officer 707-303-3600 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2011-10-21 |
Last Update Date | 2022-12-09 |