| NPI | 1487070835 |
|---|---|
| Doing Business As | CHARLESTON HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | LARRY MCCULLEY CEO 618-332-0694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 207Q00000X Family Medicine | |
| 122300000X Dentist | |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2016-06-02 |