| NPI | 1376088930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ALLEN SWAB CFO 270-338-5777 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2017-01-05 |