NPI | 1649414517 |
---|---|
Doing Business As | COMMWELL HEALTH |
Entity Type | Organization |
Authorized Contact | WILLIAM C ELLISON Revenue Cycle Manager 910-567-7065 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NC MHL082078) |
Enumeration Date | 2009-04-23 |
Last Update Date | 2024-03-27 |