| NPI | 1902437841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIE TEAGUE BOONE Clinical Director 434-228-1812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2021-05-02 |