NPI | 1619531308 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER N HOLLADAY Founder/COO 765-413-6101 |
Organization Subpart ? | No |
Primary Taxonomy | 251V00000X Voluntary or Charitable |
Additional Taxonomies | 225800000X Recreation Therapist |
363LF0000X Nurse Practitioner Family | |
Enumeration Date | 2019-04-28 |
Last Update Date | 2019-04-28 |