NPI | 1952773871 |
---|---|
Other Name | MH HEALTH CARE SERVICES AT GW |
Entity Type | Organization |
Authorized Contact | NANCY CARLSON President 802-857-0400 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant |
Enumeration Date | 2015-10-30 |
Last Update Date | 2015-10-30 |