| NPI | 1538285838 |
|---|---|
| Other Name | MOTHER CHILD CENTER |
| Entity Type | Organization |
| Authorized Contact | KEVIN POLIVICK Executive Director 765-529-4403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2008-07-29 |