| NPI | 1881131969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET TOWNSEND Facility Director 340-718-4363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: VI 1761) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2017-01-26 |