| NPI | 1245739697 |
|---|---|
| Doing Business As | AIRWAY CAMPUS |
| Entity Type | Organization |
| Authorized Contact | HAROLD BROCKMAN CFO 707-583-8839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2018-02-12 |