NPI | 1225265630 |
---|---|
Doing Business As | ST. JOSEPH'S OUTREACH CLINIC |
Entity Type | Organization |
Authorized Contact | GEORGE O. BUTLER Dir, Corporate Responsibilities 804-281-0271 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2009-06-12 |
Last Update Date | 2012-02-17 |