| NPI | 1013493162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TORI SULLIVAN LEATHERS President, CEO 803-410-5483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 221700000X Art Therapist |
| 225100000X Physical Therapist | |
| 225A00000X Music Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2023-10-31 |