| NPI | 1366785230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO F. CAUSO Owner 423-490-1547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: TN 19907) |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2014-09-15 |