NPI | 1780572339 |
---|---|
Doing Business As | MYCHN WOODFOREST |
Entity Type | Organization |
Authorized Contact | MARK D YOUNG Chief Executive Officer 281-824-1480 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
208000000X Pediatrics | |
261Q00000X Clinic/Center | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2025-06-24 |
Last Update Date | 2025-07-25 |