NPI | 1154956621 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK DANIEL MONCINO CEO 404-748-6013 |
Organization Subpart ? | No |
Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
Enumeration Date | 2020-03-05 |
Last Update Date | 2020-04-22 |