NPI | 1346591237 |
---|---|
Doing Business As | CENTROMED NORTHWEST CLINIC |
Entity Type | Organization |
Authorized Contact | CHUCK WALZEL CFO 210-334-3724 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2012-10-02 |
Last Update Date | 2012-10-02 |