NPI | 1821149964 |
---|---|
Doing Business As | MCDONOUGH HOMES CLINIC |
Entity Type | Organization |
Authorized Contact | REUBEN MOORE CEO 651-602-7500 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2007-01-16 |
Last Update Date | 2024-05-15 |