| NPI | 1992075592 |
|---|---|
| Doing Business As | MATERNAL CHILD HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | SHIRLEY HAWKINS Executive Director 219-882-5565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IN 28093654A) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 261QP0905X Clinic/Center, Public Health, State or Local | |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2012-01-12 |