NPI | 1649733320 |
---|---|
Other Name | ICL HEALTHCARE CHOICES INC |
Entity Type | Organization |
Authorized Contact | MARIA SIEBEL CEO 718-234-0073 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2019-04-10 |
Last Update Date | 2019-04-10 |