| NPI | 1962761452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MULUNEH ABEBE Pediatric Resident 945-360-1876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC2000X General Acute Care Hospital, Children |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2012-05-03 |