| NPI | 1447701008 |
|---|---|
| Doing Business As | NILES COMMUNITY HEALTH CENTER DENTAL |
| Entity Type | Organization |
| Authorized Contact | MEREDITH NEARY Chief Financial Officer 269-445-3874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Additional Taxonomies | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |