| NPI | 1124321682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESI CUNA Director Of Billing 9194-880-0015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2010-12-06 |