| NPI | 1659905396 |
|---|---|
| Doing Business As | WACGC-RCF CLARKSVILLE |
| Entity Type | Organization |
| Authorized Contact | AARON L. "RUSTI" HOLWICK CEO 479-452-6650 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2024-06-06 |