| NPI | 1861752669 |
|---|---|
| Doing Business As | HEALTHY CHILDREN HEALTHY TEENS |
| Entity Type | Organization |
| Authorized Contact | ALAN BIGGS CFO 765-453-8476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2012-05-25 |