| NPI | 1194514034 |
|---|---|
| Other Name | JEFFERSON COMMUNITY COLLEGE HEALTH AND WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | JOEY M HORTON Chief Executive Officier 315-782-9450 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2025-05-06 |
| Last Update Date | 2025-05-06 |