| NPI | 1457078321 |
|---|---|
| Doing Business As | PROACTIVE MD VIGO COUNTY SCHOOLS HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | JAN MARIA HOPKINS Operations Manager 864-501-0751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-10-21 |
| Last Update Date | 2022-10-21 |