| NPI | 1518491471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKKI BYBEE GOODALE Occupational Therapist/ Owner 903-316-6386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: TX 114230) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2017-04-18 |