| NPI | 1902143597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON T RALPH Chief Operating Officer 800-434-4686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 103T00000X Psychologist |
| 222Q00000X Developmental Therapist | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 163W00000X Registered Nurse | |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2015-06-08 |