NPI | 1053728139 |
---|---|
Doing Business As | CHILDREN'S CLINIC-ECRU |
Entity Type | Organization |
Authorized Contact | BRUCE TOPPIN Corporate Secretary 662-377-3000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center Rural Health (Licence: MS 16091) |
Enumeration Date | 2014-07-21 |
Last Update Date | 2024-07-31 |