NPI | 1477254415 |
---|---|
Doing Business As | CHARLES DREW HEALTH CENTER AT RADIUS |
Entity Type | Organization |
Authorized Contact | TARSHA JACKSON Chief Financial Officer 402-457-1215 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2023-03-16 |
Last Update Date | 2023-03-17 |