NPI | 1508582503 |
---|---|
Other Name | BLACK MEN'S HEALTH CLINIC |
Doing Business As | COMMUNITYCARE |
Entity Type | Organization |
Authorized Contact | KIMBERLY MIDDLETON Managed Care Contract Manager 512-978-9427 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2022-10-12 |
Last Update Date | 2022-10-12 |