NPI | 1649825092 |
---|---|
Other Name | CARITAS |
Entity Type | Organization |
Authorized Contact | TONYA LYNN KIMBROUGH Administrative Affairs COO Rdinator 804-783-2505 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2019-08-02 |
Last Update Date | 2021-02-16 |