| NPI | 1487523338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHEMWATIE SAYWACK Owner 689-271-1569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 225X00000X Occupational Therapist | |
| 261Q00000X Clinic/Center | |
| 103K00000X Behavior Analyst | |
| 225100000X Physical Therapist | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2025-10-30 |
| Last Update Date | 2025-11-24 |