| NPI | 1457666083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS F HIGGINS President Of The Board 662-285-6329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0002X Clinic/Center Emergency Care |
| Enumeration Date | 2010-08-06 |
| Last Update Date | 2010-08-09 |