NPI | 1881063030 |
---|---|
Doing Business As | BROOKS CITY BASE COMPLETE CARE |
Entity Type | Organization |
Authorized Contact | JOHN BRAXTON NEIMAN General Counsel 817-421-0034 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0002X Clinic/Center, Emergency Care |
Enumeration Date | 2015-09-17 |
Last Update Date | 2022-06-20 |