| NPI | 1407469570 |
|---|---|
| Other Name | FAMILY CARE HEALTH CENTERS AT RUNG FOR WOMEN |
| Entity Type | Organization |
| Authorized Contact | KEVIN LASHUN MADDOX CFO 314-481-1615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |