| NPI | 1124361688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTI ALEXANDER DAVIDSON Executive Director 866-563-7772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TN 305) |
| 104100000X Social Worker | |
| 133V00000X Dietitian, Registered | |
| 163W00000X Registered Nurse | |
| 224Z00000X Occupational Therapy Assistant | |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2014-06-13 |