| NPI | 1902020019 |
|---|---|
| Doing Business As | DOC 4 KIDS |
| Entity Type | Organization |
| Authorized Contact | CARMEN ENID KOUBICEK President 337-407-0084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: LA L#13448R) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |