NPI | 1780612275 |
---|---|
Other Name | COMMUNITYCARE--SOUTH AUSTIN |
Entity Type | Organization |
Authorized Contact | CAROLYN KONECNY CFO 512-978-9000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2006-06-30 |
Last Update Date | 2015-08-14 |