NPI | 1528726460 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREA MARIA KELLEY-FREEMAN CEO 800-867-2395 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 261Q00000X Clinic/Center |
261QC1500X Clinic/Center, Community Health | |
Enumeration Date | 2021-12-07 |
Last Update Date | 2021-12-07 |