| NPI | 1881421113 |
|---|---|
| Former Legal Business Name | FENTON ADOS TESTING INC |
| Entity Type | Organization |
| Authorized Contact | JUAN ALVARADO President And CEO 810-629-3070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical | |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics | |
| 2080P0008X Pediatrics, Neurodevelopmental Disabilities | |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2024-09-19 |