| NPI | 1750885588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY BLANTON Member Manager, CEO 662-455-0030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XL0004X Occupational Therapist Low Vision |
| Enumeration Date | 2018-03-18 |
| Last Update Date | 2022-10-09 |