NPI | 1942199088 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY D MCKEE CEO 802-264-8190 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2025-07-02 |
Last Update Date | 2025-07-02 |