| NPI | 1033858089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAILEN DRAYER Single Member 501-952-2718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 235Z00000X Speech-Language Pathologist, | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2022-05-28 |
| Last Update Date | 2022-07-19 |