NPI | 1366088957 |
---|---|
Doing Business As | KINTEGRA AT NORTH DAVIE MIDDLE |
Entity Type | Organization |
Authorized Contact | SHARMILA ALEXANDER ANDERSON Business Services Administrator 704-874-1907 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2019-11-19 |
Last Update Date | 2019-12-20 |