| NPI | 1164146601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE JACKSON Occupational Therapist 334-313-2218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2022-09-28 |
| Last Update Date | 2022-09-28 |