NPI | 1285816470 |
---|---|
Entity Type | Organization |
Authorized Contact | STUART MAY President/CEO 802-888-0901 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2007-11-29 |
Last Update Date | 2021-01-27 |