| NPI | 1932728144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCILLA HOLLINGSWORTH Office Staff 866-996-2340 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Additional Taxonomies | 261QB0400X Clinic/Center Birthing |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2024-06-10 |