| NPI | 1245723097 |
|---|---|
| Doing Business As | OIC WILLIFORD SCHOOL CLINIC |
| Entity Type | Organization |
| Authorized Contact | REUBEN BLACKWELL CEO 252-212-3480 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2018-06-07 |