| NPI | 1366946030 |
|---|---|
| Doing Business As | CHILDREN'S INTERNATIONAL MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | ZACH HAYS ALLEN VP 985-646-1580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2018-03-19 |