| NPI | 1275813982 |
|---|---|
| Doing Business As | LCC CAMPUS HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | JAY BROOKE Executive Director 719-336-0261 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2012-05-30 |