NPI | 1740708858 |
---|---|
Doing Business As | HOWARD BROWN HEALTH AT THRESHOLDS SOUTH |
Entity Type | Organization |
Authorized Contact | BURGUNDY JOHNSON Billing Manager 872-629-3491 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2017-09-08 |
Last Update Date | 2022-06-27 |