NPI | 1194069187 |
---|---|
Doing Business As | CHARIS FAMILY CLINIC |
Entity Type | Organization |
Authorized Contact | DEONNE JEANETTE BENEDICT Managing Member, LLC 206-714-4476 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WA 602904773) |
Enumeration Date | 2012-11-15 |
Last Update Date | 2012-11-16 |