| NPI | 1861363194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANDYCE MORRIS CEO 702-728-0528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric | |
| 224Z00000X Occupational Therapy Assistant | |
| Enumeration Date | 2025-09-17 |
| Last Update Date | 2025-09-22 |