NPI | 1649094095 |
---|---|
Doing Business As | PARKTREE COMMUNITY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | DAVID MICHAEL KADAR Chief Executive Officer 909-630-7939 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2024-11-12 |
Last Update Date | 2024-11-12 |