| NPI | 1649991829 |
|---|---|
| Doing Business As | FAMILY PRACTICE & COUNSELING NETWORK |
| Entity Type | Organization |
| Authorized Contact | EMILY NICHOLS Executive Director 267-597-3604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1223G0001X Dentist, General Practice | |
| 261QS1000X Clinic/Center, Student Health | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2022-10-24 |