| NPI | 1932659794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA LEE Office Staff 800-348-4623 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Additional Taxonomies | 261QB0400X Clinic/Center, Birthing |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2022-07-09 |