NPI | 1972203347 |
---|---|
Doing Business As | ISAIAH 61 CAFE |
Entity Type | Organization |
Authorized Contact | MARGARET SAMAHA Finance Manger 603-934-0177 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2023-03-06 |
Last Update Date | 2023-03-06 |