| NPI | 1902782683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANDY MORRIS CEO 833-759-8720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 224Z00000X Occupational Therapy Assistant | |
| Enumeration Date | 2025-08-15 |
| Last Update Date | 2025-10-30 |