NPI | 1629121330 |
---|---|
Doing Business As | HEALTHCARE FOR THE HOMELESS |
Entity Type | Organization |
Authorized Contact | BRENDA EICKHOFF Executive Director 307-232-0124 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
208D00000X General Practice | |
Enumeration Date | 2007-01-18 |
Last Update Date | 2016-09-17 |