| NPI | 1982920906 |
|---|---|
| Doing Business As | CRESTVIEW HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | LANE MILLER LUNN President/CEO 850-385-4494 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2020-12-10 |