| NPI | 1033541156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA VINLOVE Clinic Administrator 251-441-6560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2013-07-31 |