| NPI | 1659584555 |
|---|---|
| Doing Business As | MOBILE MEDICAL VAN |
| Entity Type | Organization |
| Authorized Contact | KELLY WARREN Executive Director 251-690-8833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2021-02-01 |