| NPI | 1992067995 |
|---|---|
| Other Name | CARBONDALE VA CBOC |
| Entity Type | Organization |
| Authorized Contact | ERIN POTTER Npi Team Member 202-382-2579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QV0200X Clinic/Center VA |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2018-01-17 |