NPI | 1235441742 |
---|---|
Former Legal Business Name | WATER STREET RESCUE MISSION MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | GALE THOMASON Executive Director 717-358-2092 |
Organization Subpart ? | No |
Primary Taxonomy | 261QC1500X Clinic/Center Community Health |
Additional Taxonomies | 261QD0000X Clinic/Center Dental |
Enumeration Date | 2010-07-13 |
Last Update Date | 2010-07-13 |