| NPI | 1679310635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANN FLECKENSTEIN Owner 404-754-5368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 224Z00000X Occupational Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2024-07-09 |
| Last Update Date | 2024-07-09 |