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 |