NPI | 1376718775 |
---|---|
Other Name | WACGC - VAN BUREN CLINIC |
Other Name | WACGC - CRAWFORD COUNTY CLINIC |
Entity Type | Organization |
Authorized Contact | AARON L. "RUSTI" HOLWICK CEO 479-452-6650 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X |
Enumeration Date | 2008-04-25 |
Last Update Date | 2024-06-06 |