| NPI | 1184958142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIEU THI TRAN Resident 315-546-6233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC2000X General Acute Care Hospital, Children (Licence: PA MT194912) |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2018-07-31 |