| NPI | 1912053828 |
|---|---|
| Doing Business As | THE CENTER FOR THERAPY PEDIATRIC SERVICES |
| Entity Type | Organization |
| Authorized Contact | DAVID C MCMILLIAN Member 318-227-9002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |