| NPI | 1861988164 |
|---|---|
| Other Name | AVENUE 360 SOUTH CENTERAL |
| Entity Type | Organization |
| Authorized Contact | APRIL PEER CFO 713-426-0027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2023-01-12 |