| NPI | 1467483255 |
|---|---|
| Doing Business As | DIVISION STREET FAMILY CLINIC |
| Entity Type | Organization |
| Authorized Contact | SANDEE STRADER-MCMILLEN CEO 812-421-7489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2015-07-15 |