NPI | 1962740381 |
---|---|
Doing Business As | HEATH CENTER AT ACADEMY SUITE 3500 |
Entity Type | Organization |
Authorized Contact | RYAN SPILLANE Chief Financial Officer 719-344-7135 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2013-01-18 |
Last Update Date | 2023-03-06 |