NPI | 1952739054 |
---|---|
Entity Type | Organization |
Authorized Contact | HENRY THOMPSON CEO 718-924-2254 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2013-10-29 |
Last Update Date | 2013-10-29 |