| NPI | 1275369522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALLERY LOWDER Hr Director 980-444-2770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 235Z00000X Speech-Language Pathologist, | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2024-09-12 |
| Last Update Date | 2025-02-21 |