NPI | 1316260631 |
---|---|
Other Name | MH HEALTH CARE SERVICES AT BAE |
Entity Type | Organization |
Authorized Contact | NANCY CARLSON President 802-857-0400 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
Enumeration Date | 2010-03-02 |
Last Update Date | 2010-09-13 |