| NPI | 1205419157 |
|---|---|
| Other Name | MOBILE MEDICAL UNIT II |
| Entity Type | Organization |
| Authorized Contact | KELLY WARREN Executive Director 251-690-8158 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2021-04-29 |