NPI | 1962811265 |
---|---|
Doing Business As | MARTIN LUTHER KING, JR. MULTI-SERVICE |
Entity Type | Organization |
Authorized Contact | CYNTHIA M OLIVER Chief Operating Officer 424-338-1001 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2014-08-12 |
Last Update Date | 2024-01-05 |