NPI | 1831186915 |
---|---|
Doing Business As | CLINICA FAMILY HEALTH & WELLNESS |
Entity Type | Organization |
Authorized Contact | BRIAN J JOHNSTON CFO 303-926-0625 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CO 0556) |
Enumeration Date | 2005-10-04 |
Last Update Date | 2024-10-31 |