NPI | 1750568887 |
---|---|
Doing Business As | TEEN HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | RICARDO ROMAN CFO 619-515-2300 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 090000641) |
Enumeration Date | 2008-01-31 |
Last Update Date | 2024-02-19 |