NPI | 1902176449 |
---|---|
Doing Business As | SSTAR SOUTH END SERVICES |
Entity Type | Organization |
Authorized Contact | LINDA SCHOFIELD Credentialing Specialist 508-675-1054 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: 1-F00000909-11-01) |
Enumeration Date | 2011-12-30 |
Last Update Date | 2015-01-05 |