NPI | 1285056994 |
---|---|
Doing Business As | PINE MOUNTAIN HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | SHARON M POWELL Owner 661-242-2592 |
Organization Subpart ? | No |
Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: CA C3624118) |
Enumeration Date | 2014-01-15 |
Last Update Date | 2019-12-03 |