| NPI | 1245663210 |
|---|---|
| Other Name | MARTIN LUTHER KING, JR. OUTPATIENT CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL MILLS Chief Executive Officer 424-338-1001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2023-07-28 |