| NPI | 1225765621 |
|---|---|
| Doing Business As | ROOSEVELT COMMUNITY HEALTH CENTER OF EXCELLENCE |
| Entity Type | Organization |
| Authorized Contact | LUCHY JACKSON Director Of Managed Care 212-238-7815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2022-08-04 |
| Last Update Date | 2023-01-12 |