| NPI | 1295108025 |
|---|---|
| Doing Business As | CALLEN-LORDE BRONX |
| Entity Type | Organization |
| Authorized Contact | NICHOLAS MARTIN Compliance Analyst 212-271-7269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2018-03-15 |