NPI | 1780450759 |
---|---|
Doing Business As | FAMILY PROMISE FIREHOUSE CLINIC |
Entity Type | Organization |
Authorized Contact | ANGELA CRAIG Director Of Billing 321-241-6834 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2023-11-30 |
Last Update Date | 2023-12-21 |