NPI | 1972163848 |
---|---|
Doing Business As | KINTEGRA AT LONGVIEW ELEMENTARY |
Entity Type | Organization |
Authorized Contact | SHARMILA ALEXANDER ANDERSON Business Service Administrator 704-874-1907 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2019-06-13 |
Last Update Date | 2020-01-16 |