NPI | 1770653537 |
---|---|
Doing Business As | CHILD DEVELOPMENT CLINIC SOUTHSIDE |
Entity Type | Organization |
Authorized Contact | KERRY GATELEY Director 434-766-9800 |
Organization Subpart ? | No |
Primary Taxonomy | 251K00000X Public Health or Welfare |
Enumeration Date | 2006-11-09 |
Last Update Date | 2016-03-31 |