NPI | 1396092417 |
---|---|
Entity Type | Organization |
Authorized Contact | MARYCATE MCDONOUGH Director 267-253-5366 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 225100000X Physical Therapist |
225X00000X Occupational Therapist | |
235Z00000X Speech-Language Pathologist, | |
252Y00000X Early Intervention Provider Agency | |
Enumeration Date | 2012-08-08 |
Last Update Date | 2024-02-06 |