| NPI | 1730681420 |
|---|---|
| Other Name | THE COMMONS AT STANTON SQUARE |
| Entity Type | Organization |
| Authorized Contact | ANAISI HOWARD Credentialing Lead 667-325-7036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 251B00000X Case Management |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2023-03-23 |