| NPI | 1457503385 |
|---|---|
| Doing Business As | DIANA STREET CLINIC |
| 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) |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2015-06-09 |