| NPI | 1528623774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAIA WALTON CEO 888-381-8556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2019-05-03 |