NPI | 1174336572 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURIE BURNETT Executive Director 479-459-6658 |
Organization Subpart ? | No |
Primary Taxonomy | 2080C0008X Pediatrics, Child Abuse Pediatrics |
Enumeration Date | 2025-01-29 |
Last Update Date | 2025-01-29 |