| NPI | 1053142620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA H HOGUE Occupational Therapist 256-740-1236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XM0800X Occupational Therapist, Mental Health |
| Enumeration Date | 2024-08-13 |
| Last Update Date | 2024-08-13 |