| NPI | 1326320144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITINEY C HUGHES Health Care Specialist 251-213-8533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1102X Clinic/Center, Military Outpatient Operational (Transportable) Component (Licence: OH B1951717) |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2011-09-19 |