| NPI | 1619167749 |
|---|---|
| Former Legal Business Name | WESTSIDE URBAN HEALTH CENTER, INC |
| Entity Type | Organization |
| Authorized Contact | LEON L. BURTON Executive Director 912-527-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2009-11-24 |