| NPI | 1538588165 |
|---|---|
| Doing Business As | COMTREA |
| Entity Type | Organization |
| Authorized Contact | TERESA L PORTER Credentialing Manager 844-853-8937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2023-08-18 |