NPI | 1205174745 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREW MAJKA CFO/Cso 802-885-7629 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2013-01-17 |
Last Update Date | 2013-03-07 |