NPI | 1760645550 |
---|---|
Former Legal Business Name | JESSIE TRICE COMMUNITY HEALTH CENTER INC |
Entity Type | Organization |
Authorized Contact | ANNIE R. NEASMAN President And CEO 305-805-1700 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2008-07-02 |
Last Update Date | 2020-03-18 |