| NPI | 1770706103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS HEISLER Owner 1870-295-5280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR 14012) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AR 14012) |
| 133N00000X Nutritionist (Licence: AR 14012) | |
| 163W00000X Registered Nurse (Licence: AR 14012) | |
| 164W00000X Licensed Practical Nurse (Licence: AR 14012) | |
| 224Z00000X Occupational Therapy Assistant (Licence: AR 14012) | |
| 225100000X Physical Therapist (Licence: AR 14012) | |
| 225200000X Physical Therapy Assistant (Licence: AR 14012) | |
| 225X00000X Occupational Therapist (Licence: AR 14012) | |
| 235Z00000X Speech-Language Pathologist, (Licence: AR 14012) | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |