NPI | 1891044681 |
---|---|
Doing Business As | ST. ANN CLINIC, ST. ANN DENTAL SERVICES, ST. ANN COMMUNITY OUTREACH SE |
Entity Type | Organization |
Authorized Contact | PETER COOK CIANCONE President Of The Board Of Directors 812-240-6056 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2012-09-07 |
Last Update Date | 2020-06-29 |