| NPI | 1962664003 |
|---|---|
| Doing Business As | CENTRALIA SPECIALTY CENTER |
| Entity Type | Organization |
| Authorized Contact | HARLEY DANIEL MILLER Seceratary 360-748-0211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2021-10-21 |