NPI | 1770090706 |
---|---|
Former Legal Business Name | FIELD ENTERPRISE, LLC |
Entity Type | Organization |
Authorized Contact | MARY CRUTCHFIELD Np 757-339-5822 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2017-12-29 |
Last Update Date | 2017-12-29 |