NPI | 1932829280 |
---|---|
Doing Business As | FAMILY PRACTICE & COUNSELING NETWORK |
Entity Type | Organization |
Authorized Contact | EMILY NICHOLS Executive Director 267-597-3604 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
363LP0200X Nurse Practitioner, Pediatrics | |
Enumeration Date | 2022-08-29 |
Last Update Date | 2022-10-24 |