| 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 |