| NPI | 1568119683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMAD HOBBS Director 888-353-7336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2022-03-08 |
| Last Update Date | 2022-12-09 |