| NPI | 1902682792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVE GAYE President 888-425-7732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM3000X Clinic/Center, Medically Fragile Infants and Children Day Care |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2023-09-06 |
| Last Update Date | 2023-12-26 |