| NPI | 1033744958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINNEA HEINTZ Program Services 479-250-4355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2020-03-11 |