| NPI | 1780877613 |
|---|---|
| Doing Business As | MARTIN LUTHER KING, JR. OUTPATIENT CENTER |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA OLIVER Administrator 424-338-1001 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2020-05-14 |