| NPI | 1952767402 | 
|---|---|
| Former Legal Business Name | JESSIE TRICE COMMUNITY HEALTH CENTER INC | 
| Entity Type | Organization | 
| Authorized Contact | ANNIE R NEASMAN President/CEO 305-805-1700 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | 
| Enumeration Date | 2016-01-13 | 
| Last Update Date | 2018-01-26 |