| NPI | 1225347339 |
|---|---|
| Doing Business As | NORTHSIDE CHILD HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | KARIN SLATER Chief Financial Officer 970-252-7921 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2013-11-26 |