NPI | 1417218876 |
---|---|
Doing Business As | CANYONLANDS HEALTHCARE GLOBE |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER HANSEN CEO 928-645-9675 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2012-06-01 |
Last Update Date | 2021-09-23 |