NPI | 1982635470 |
---|---|
Doing Business As | TEEN HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | RICARDO ROMAN CFO 619-906-4603 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 090000641) |
Enumeration Date | 2006-07-05 |
Last Update Date | 2024-02-19 |