| NPI | 1538366075 |
|---|---|
| Other Name | DEVELPMENTAL PEDIATRIC SERVICES |
| Entity Type | Organization |
| Authorized Contact | DIANE ROSE EDWARDS Owner 307-472-3769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2015-07-27 |