| NPI | 1659668010 |
|---|---|
| Former Legal Business Name | WESTSIDE URBAN HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | EARLENE JOINER DANIELS Chief Administrative Officer 912-527-1088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2020-01-27 |