| NPI | 1437635596 |
|---|---|
| Doing Business As | CENTROMED UNION AVE. CLINIC |
| Entity Type | Organization |
| Authorized Contact | LAWRENCE C WALZEL VP/CFO 210-334-3724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2019-01-30 |