| NPI | 1215161419 | 
|---|---|
| Doing Business As | FREE CLINIC OF THE TWIN COUNTIES | 
| Entity Type | Organization | 
| Authorized Contact | DINA BANKS SLUSHER Executive Director 276-236-0421  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: VA 0101044032)  | 
| Enumeration Date | 2009-05-04 | 
| Last Update Date | 2009-05-04 |