NPI | 1780159756 |
---|---|
Other Name | COMMUNITYCARE AT SUNRISE CHURCH |
Entity Type | Organization |
Authorized Contact | ASHLEE HAYS Provider Contracting Manager 512-978-9914 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2018-10-05 |
Last Update Date | 2018-10-05 |