NPI | 1801898556 |
---|---|
Other Name | BROOKSIDE |
Entity Type | Organization |
Authorized Contact | LOLITA A. LOPEZ Chief Executive Officer 302-656-8292 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2005-08-12 |
Last Update Date | 2022-04-20 |