NPI | 1710051354 |
---|---|
Doing Business As | SULZBACHER CENTER |
Entity Type | Organization |
Authorized Contact | KATHLEEN PATNEAU Administrator 904-394-8056 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: FL 6860320 00) |
Enumeration Date | 2006-11-17 |
Last Update Date | 2012-03-23 |