| NPI | 1174401046 |
|---|---|
| Doing Business As | SOAR AUTISM CENTER |
| Entity Type | Organization |
| Authorized Contact | DANIEL SPIEGEL SVP 618-851-1227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Enumeration Date | 2025-08-26 |
| Last Update Date | 2026-05-22 |