| NPI | 1396395752 |
|---|---|
| Doing Business As | CENTRAL FAMILY CLINIC |
| Entity Type | Organization |
| Authorized Contact | THEODORE JAMES CEO 612-823-2947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2020-02-26 |