| 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 |