NPI | 1790192946 |
---|---|
Doing Business As | FAMILY HEALTH CENTER CROSSTOWN PKWY |
Entity Type | Organization |
Authorized Contact | DENISE CRAWFORD President And CEO 269-349-4257 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2014-07-21 |
Last Update Date | 2017-09-27 |