NPI | 1487082608 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSE J VIRELLA CFO 917-842-3011 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2013-10-25 |
Last Update Date | 2022-11-03 |