NPI | 1750543393 |
---|---|
Other Name | JTCHS BARBARA J JORDAN COMMUNITY HEALTH WELLNESS CENTER |
Former Legal Business Name | JESSIE TRICE COMMUNITY HEALTH CENTER INC |
Entity Type | Organization |
Authorized Contact | RYAN R HAWKINS President And CEO 305-805-1700 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2008-06-25 |
Last Update Date | 2024-11-26 |