| NPI | 1912406927 |
|---|---|
| Former Legal Business Name | GO PLAY THERAPY CENTER, LLC |
| Entity Type | Organization |
| Authorized Contact | SILVIA HERNANDEZ Owner / Manager 256-979-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2018-11-27 |