NPI | 1730158544 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES STEVEN DONALD Owner President 251-847-6262 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2006-03-15 |
Last Update Date | 2016-02-24 |