| NPI | 1639244452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY HANSEN Health Director 980-484-5200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP0905X Clinic/Center Public Health, State or Local |
| Additional Taxonomies | 261QC1500X Clinic/Center Community Health |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2025-03-31 |