NPI | 1477649119 |
---|---|
Doing Business As | WATTS HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | MICHAEL JOHNSON President & CEO 323-564-4331 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2006-10-04 |
Last Update Date | 2022-06-29 |