| NPI | 1710047618 |
|---|---|
| Doing Business As | SOUTHEASTHEALTH CHILDREN'S CLINIC OF DEXTER |
| Entity Type | Organization |
| Authorized Contact | PAULA E HARRIS Vice President Regional Operations 573-778-0020 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2013-10-18 |