| 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 | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 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 |