| NPI | 1598549818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN HANNAH Co Owner 870-273-3980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 225100000X Physical Therapist |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-08-29 |