| NPI | 1447099973 |
|---|---|
| Doing Business As | LCH - GOLISANO PEDS BH - QUALITY LIFE CENTER |
| Entity Type | Organization |
| Authorized Contact | STEVEN BOREN Credentialing Specialist 239-424-1479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-05-23 |
| Last Update Date | 2024-05-23 |