| NPI | 1497511315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ANNORINO CEO 386-479-3121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 222Q00000X Developmental Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2024-02-27 |
| Last Update Date | 2024-02-27 |