NPI | 1225740756 |
---|---|
Doing Business As | CHESTNUT FAMILY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | MEGAN MARIE TAYLOR Managed Care Supervisor 888-924-3786 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2022-12-15 |
Last Update Date | 2023-03-16 |