NPI | 1700516135 |
---|---|
Doing Business As | CALLEN-LORDE SATELLITE AT BROOKLYN COMMUNITY PRIDE CENTER |
Entity Type | Organization |
Authorized Contact | MARC MURPHY Manager Of Compliance And Risk 212-271-7191 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2022-06-17 |
Last Update Date | 2023-10-12 |