| NPI | 1821673070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MASON AUGUST SWIMMER Music Therapist Board Certified 704-996-0381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225A00000X Music Therapist |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| 261QR0400X Clinic/Center, Rehabilitation | |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2021-03-11 |