| NPI | 1295569630 |
|---|---|
| Doing Business As | CHHS BRUIN ACADEMY HEALTHY KIDS CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHERYL GREEN Billing Manaager 270-858-6655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-08-28 |
| Last Update Date | 2024-08-28 |