NPI | 1225573785 |
---|---|
Doing Business As | COMMUNITY CARE CLINIC |
Entity Type | Organization |
Authorized Contact | LEO J BRONSTON Owner 608-781-2225 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
Enumeration Date | 2016-12-19 |
Last Update Date | 2023-05-09 |