| NPI | 1467529115 |
|---|---|
| Doing Business As | COMMUNITY LEAGUE HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | ALAN J. WENGROFSKY CFO 212-545-2481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2016-06-15 |