NPI | 1821864893 |
---|---|
Doing Business As | BLACK MEN'S HEALTH CLINIC |
Entity Type | Organization |
Authorized Contact | LARRY WALLACE Co Founder & Board President 682-800-3163 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 152W00000X Optometrist |
202D00000X Integrative Medicine | |
207Q00000X Family Medicine | |
207R00000X Internal Medicine | |
208D00000X General Practice | |
208VP0000X Pain Medicine, Pain Medicine | |
208VP0014X Pain Medicine, Interventional Pain Medicine | |
251B00000X Case Management | |
251S00000X | |
261QP2300X Clinic/Center, Primary Care | |
261QR1300X Clinic/Center, Rural Health | |
103T00000X Psychologist | |
104100000X Social Worker | |
133V00000X Dietitian, Registered | |
Enumeration Date | 2023-11-30 |
Last Update Date | 2023-11-30 |