| NPI | 1063066009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARA O CHILDERS Co Owner 606-791-7435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2019-12-09 |