NPI | 1891531273 |
---|---|
Doing Business As | CORE FUNCTIONAL HEALTH |
Entity Type | Organization |
Authorized Contact | NICOLE PENNINGER Clinic Manager 618-992-3233 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
Enumeration Date | 2024-07-03 |
Last Update Date | 2024-10-24 |