| NPI | 1619314192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALETA L CLARK Owner 253-854-9377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YS0200X Counselor, School | |
| 222Q00000X Developmental Therapist | |
| 225X00000X Occupational Therapist | |
| 225XM0800X Occupational Therapist, Mental Health | |
| 225XP0019X Occupational Therapist, Physical Rehabilitation | |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2013-05-24 |