| NPI | 1831337328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARI BATES Executive Director 386-325-2249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 225XP0200X Occupational Therapist, Pediatrics | |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2020-11-24 |