| NPI | 1043041833 |
|---|---|
| Former Legal Business Name | CHOSEN ONE |
| Entity Type | Organization |
| Authorized Contact | MARTRICE HOLLAND Mhp 318-450-1581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-08-12 |