NPI | 1801519384 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROL JONES Consultant 217-822-8287 |
Organization Subpart ? | No |
Primary Taxonomy | 261QS1000X Clinic/Center Student Health |
Additional Taxonomies | 261QF0050X Clinic/Center Family Planning, Non-Surgical |
261QH0100X Clinic/Center Health Service | |
363LS0200X Nurse Practitioner School | |
Enumeration Date | 2022-09-20 |
Last Update Date | 2022-09-20 |