| NPI | 1679600688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA S MITCHELL Owner Administrator 251-476-2404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility (Licence: AL C4910) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |