| NPI | 1205018652 |
|---|---|
| Doing Business As | SOUTH LIVINGSTON CO MUSTANG CLINIC |
| Entity Type | Organization |
| Authorized Contact | JAMES M TOLLEY Public Health Director 270-388-9747 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2007-11-28 |