| NPI | 1558859066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOVA CRAWFORD Owner 573-475-7071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2018-04-30 |