NPI | 1710437991 |
---|---|
Doing Business As | HOWARD BROWN HEALTH 55TH STREET |
Entity Type | Organization |
Authorized Contact | BURGUNDY JOHNSON Credentialing 872-629-3491 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2016-10-11 |
Last Update Date | 2022-06-27 |