| NPI | 1497939052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANIE CIRLOT-NEW Director 662-325-1028 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| 225CA2400X Rehabilitation Counselor, Assistive Technology Practitioner | |
| 225X00000X Occupational Therapist | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2007-12-19 |