NPI | 1205636032 |
---|---|
Doing Business As | SAFE HARBOR MEDICAL-TRAC B |
Entity Type | Organization |
Authorized Contact | TINA A ALICEA CEO 702-870-8852 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
Enumeration Date | 2025-03-19 |
Last Update Date | 2025-03-19 |