| NPI | 1992765663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA KIRKHAM Billing Supervisor 325-657-5031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 281PC2000X Chronic Disease Hospital, Children |
| Enumeration Date | 2006-03-25 |
| Last Update Date | 2011-08-26 |