| NPI | 1174884316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SETH FRIEDMAN CEO 984-220-4557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC1900X Psychologist, Counseling | |
| 1041C0700X Social Worker, Clinical | |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| 225700000X Massage Therapist | |
| 225800000X Recreation Therapist | |
| 225X00000X Occupational Therapist | |
| 246Q00000X Spec/Tech, Pathology | |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2025-02-18 |