| NPI | 1114383098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAITH LEWIS Admin 800-349-4054 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Additional Taxonomies | 261QB0400X Clinic/Center Birthing |
| Enumeration Date | 2016-01-08 |
| Last Update Date | 2024-06-07 |