NPI | 1871472514 |
---|---|
Doing Business As | E STREET CLINIC |
Entity Type | Organization |
Authorized Contact | TEMETRY A LINDSEY CEO/President 909-708-8148 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2025-08-27 |
Last Update Date | 2025-08-27 |