NPI | 1528849841 |
---|---|
Doing Business As | COASTAL FAMILY HEALTH CENTER INC - SOUTH HANCOCK ELEMENTARY SCHOOL CLI |
Entity Type | Organization |
Authorized Contact | ANGELIQUE GREER CEO 228-374-2494 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2023-10-12 |
Last Update Date | 2024-08-16 |