NPI | 1689393514 |
---|---|
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 | 363LP0200X Nurse Practitioner, Pediatrics |
101Y00000X Counselor | |
Enumeration Date | 2022-08-24 |
Last Update Date | 2022-10-24 |