NPI | 1992128300 |
---|---|
Other Name | G.W. CARVER MIDDLE |
Entity Type | Organization |
Authorized Contact | BRODES H HARTLEY Credentialing Specialist 305-253-5100 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2014-01-22 |
Last Update Date | 2014-01-22 |