NPI | 1457054769 |
---|---|
Other Name | JEFFERSON COMPREHENSIVE CARE SYSTEM, INC- ABC |
Entity Type | Organization |
Authorized Contact | SANDRA J. BROWN CEO 870-543-2380 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2023-03-24 |
Last Update Date | 2023-03-24 |