NPI | 1720373251 |
---|---|
Doing Business As | DOHERTY HIGH HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | ALYDA JUSTINIANO-FRANZEL Mgr. Provider Relations/Cred 508-860-7962 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: MA 4669) |
Enumeration Date | 2011-06-13 |
Last Update Date | 2022-05-27 |