| NPI | 1639747066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANINE ALPERT Director Of Clinical Services 469-998-3580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 104100000X Social Worker |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2021-06-13 |
| Last Update Date | 2021-06-13 |