NPI | 1720247125 |
---|---|
Doing Business As | CHCL DENTAL MOBILE UNIT |
Entity Type | Organization |
Authorized Contact | MICHAEL SULLIVAN Chief Executive Officer 806-765-2611 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2008-06-02 |
Last Update Date | 2022-02-14 |