| NPI | 1801181334 |
|---|---|
| Doing Business As | SULLIVAN MIDDLE HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | ALYDA JUSTINIANO-FRANZEL Mgr. Provider Relations 508-860-7962 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: MA 4669) |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2023-12-01 |