| NPI | 1639417280 |
|---|---|
| Doing Business As | HENRIETTA JOHNSON MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | ROSA RIVERA Chief Executive Officer 302-427-9696 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2013-01-16 |