| NPI | 1669171344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRES ALEJANDRO CRISWELL CRUCET-CHOI Program Manager 202-677-3771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2025-07-04 |