NPI | 1982328969 |
---|---|
Doing Business As | MOUNTAIN FAMILY HEALTH CENTERS AVON |
Entity Type | Organization |
Authorized Contact | ROSS BROOKS CEO 970-928-1609 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2022-10-03 |
Last Update Date | 2022-10-03 |