| NPI | 1104078302 |
|---|---|
| Doing Business As | CHILDRENS UNIVERSITY MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | OLAN A NUGENT Executive Associate Dean 501-686-8135 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |