NPI | 1770942104 |
---|---|
Entity Type | Organization |
Authorized Contact | CATRISHA LASHAWN WASHINGTON-JACKSON Clinical Director Of Nursing 1844-377-2946 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
Enumeration Date | 2016-02-12 |
Last Update Date | 2016-02-12 |