| 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 |