NPI | 1700385788 |
---|---|
Doing Business As | VIDA GUIDANCE CENTER AT ST. VINCENT DE PAUL |
Entity Type | Organization |
Authorized Contact | PALOMA HERNANDEZ President And CEO 718-589-2440 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2018-02-06 |
Last Update Date | 2018-02-06 |