| NPI | 1407000607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM CLEM Owner 903-838-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 101Y00000X Counselor |
| 225100000X Physical Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2008-11-14 |