| NPI | 1831418904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KETTELY DARDEN Social Worker 031-730-4558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital (Licence: GA MSW004607) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2010-05-27 |