| NPI | 1043648611 |
|---|---|
| Doing Business As | MONTGOMERY CLINIC |
| Entity Type | Organization |
| Authorized Contact | MICHELLE BRAUNS Executive Director 540-381-0820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2013-10-17 |
| Last Update Date | 2013-10-17 |