| NPI | 1205040623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKISHA K DIXON Project Manager 501-205-6143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 104100000X Social Worker |
| 171M00000X Case Manager/Care Coordinator | |
| 224Z00000X Occupational Therapy Assistant | |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| 235Z00000X Speech-Language Pathologist, | |
| 251300000X Local Education Agency (LEA) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2023-05-09 |