NPI | 1447377924 |
---|---|
Doing Business As | NORTHEAST FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | WILLIAM SCHLESINGER Chief Executive Officer 915-533-7057 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QF0050X Clinic/Center, Family Planning, Non-Surgical |
Enumeration Date | 2007-03-22 |
Last Update Date | 2021-11-30 |