NPI | 1679162580 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY GREENBERG Chief Operating Officer 976-670-3434 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2021-01-14 |
Last Update Date | 2021-01-14 |