| NPI | 1689449571 |
|---|---|
| Other Name | COMMUNITY MEDICAL WELLNESS CENTERS USA-ANNEX |
| Entity Type | Organization |
| Authorized Contact | NICHOLE HENDERSON Director Of Quality 628-977-0548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2023-11-20 |