| NPI | 1407364417 |
|---|---|
| Other Name | KNOX COUNTY HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | KIM CROCKETT Administrative Assistant 207-593-1699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2018-01-12 |