NPI | 1194908954 |
---|---|
Doing Business As | CRESTVIEW HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | LANE MILLER LUNN President/CEO 850-385-4494 |
Organization Subpart ? | |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2007-12-14 |
Last Update Date | 2020-12-10 |