| NPI | 1124668124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA PRIGORAC Owner 810-623-0947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 225XM0800X Occupational Therapist, Mental Health |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2024-07-22 |