| NPI | 1235743899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARA J WISE Certified Recreational Therapist 737-202-9403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 225700000X Massage Therapist |
| 225800000X Recreation Therapist | |
| 225A00000X Music Therapist | |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |