NPI | 1265592968 |
---|---|
Former Legal Business Name | GUILFORD CHILD HEALTH, INC. |
Entity Type | Organization |
Authorized Contact | BRIAN K ELLERBY Chief Executive Officer 336-272-1050 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2006-12-11 |
Last Update Date | 2011-08-18 |