NPI | 1689864035 |
---|---|
Doing Business As | SANTA ROSA COMMUNITY CLINIC |
Doing Business As | MILTON |
Entity Type | Organization |
Authorized Contact | CHANDRA SMILEY Executive Director 850-436-4630 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2007-07-31 |
Last Update Date | 2021-08-04 |