| NPI | 1508335100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCILLA HOLLINGSWORTH Office Staff 866-996-2340 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Additional Taxonomies | 261QB0400X Clinic/Center, Birthing |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2022-04-15 |