| NPI | 1528438066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA J. CLAUSEL Community Based Rehabilitative Ser 336-870-1937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2015-09-27 |
| Last Update Date | 2015-09-27 |