| NPI | 1285776328 |
|---|---|
| Doing Business As | ASU FAMILY CLINIC |
| Entity Type | Organization |
| Authorized Contact | LINDA GODLEY Director 601-304-4375 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2007-12-20 |