| NPI | 1033951660 |
|---|---|
| Doing Business As | PREMIER BIRTH CENTER CHANTILLY |
| Entity Type | Organization |
| Authorized Contact | EMILY ELIZABETH DEROCCO Owner/President 620-504-2434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QB0400X Clinic/Center, Birthing |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2024-06-12 |