NPI | 1265131056 |
---|---|
Entity Type | Organization |
Authorized Contact | MEGAN RAYMOND Occupational Therapist, Owner 318-518-4162 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
Enumeration Date | 2023-03-01 |
Last Update Date | 2023-03-01 |