| NPI | 1972823722 |
|---|---|
| Doing Business As | CBMH MONCRIEF-JACKSON |
| Entity Type | Organization |
| Authorized Contact | WILLIE WARREN Chief, Ubo 803-751-0472 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2015-04-08 |