NPI | 1720458854 |
---|---|
Entity Type | Organization |
Authorized Contact | REBEKAH JAMES Executive Director 501-794-2269 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
2251P0200X Physical Therapist, Pediatrics | |
225XP0200X Occupational Therapist, Pediatrics | |
251S00000X | |
Enumeration Date | 2015-10-01 |
Last Update Date | 2015-10-01 |