NPI | 1861420382 |
---|---|
Doing Business As | COMMUNITYCARE--SOUTHEAST HEALTH & WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | JOY SLOAN CFO 512-978-9000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2006-06-30 |
Last Update Date | 2024-03-05 |