| NPI | 1215591649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE WILLEMS-PLAKYDA Physician 267-759-6736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2019-05-01 |