| NPI | 1639842883 |
|---|---|
| Other Name | JEWEL COMMUNITY CARE- UNION |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL D BUSH Clinical Director 984-292-4235 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2021-07-25 |
| Last Update Date | 2021-07-25 |