NPI | 1871070417 |
---|---|
Doing Business As | BHA EVANS CENTER CLINIC |
Entity Type | Organization |
Authorized Contact | ANGELA CRAIG Business Office Manager 321-241-6834 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2018-07-26 |
Last Update Date | 2023-08-23 |