NPI | 1992018949 |
---|---|
Doing Business As | EAU CLAIRE BEHAVIORAL MEDICINE |
Entity Type | Organization |
Authorized Contact | DELGADO CANTAVE CEO 803-733-5969 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2010-07-20 |
Last Update Date | 2022-02-10 |