NPI | 1750331963 |
---|---|
Doing Business As | GEORGETOWN COMMUNITY CLINIC |
Entity Type | Organization |
Authorized Contact | PETER C PERIALAS CEO 512-868-1124 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2006-05-10 |
Last Update Date | 2011-03-03 |