| NPI | 1851321152 |
|---|---|
| Doing Business As | BRENTWOOD FAMILY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | JAMES L. TOMARKEN Commissioner 631-854-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: NY 5155200R) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2012-10-25 |