| NPI | 1093247397 |
|---|---|
| Doing Business As | EDGE WATER MUSIC THERPAY |
| Entity Type | Organization |
| Authorized Contact | COREY DANIEL THOMPSON Owner 269-329-0730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225A00000X Music Therapist |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-03-28 |