| NPI | 1871193722 |
|---|---|
| Doing Business As | COASTAL FAMILY HEALTH CENTER, INC - VANCLEAVE HIGH SCHOOL CLINIC |
| Entity Type | Organization |
| Authorized Contact | ANGELIQUE GREER CEO 228-374-2494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2021-10-08 |