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 |