NPI | 1538839915 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAVERENCE OUTLAW Recreational Therapist 336-604-4537 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 225800000X Recreation Therapist |
Enumeration Date | 2021-09-16 |
Last Update Date | 2022-01-12 |