| NPI | 1134383482 |
|---|---|
| Doing Business As | MID-TOWN MEDICAL |
| Entity Type | Organization |
| Authorized Contact | DEBORAH B KING President 662-665-0006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MS R568031) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2024-02-05 |