| NPI | 1124375027 |
|---|---|
| Doing Business As | ULP PEDIATRIC HEALTHY FOR LIFE |
| Entity Type | Organization |
| Authorized Contact | JOHN ELLIOTT VP Of Hr 502-588-4206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2012-08-09 |