| NPI | 1366123705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMMY ROBINSON CEO 606-638-0938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103T00000X Psychologist | |
| 106E00000X Assistant Behavior Analyst | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2024-11-18 |