| NPI | 1912570797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAVANNA WILLIAMS Owner 251-751-1687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 225XP0200X Occupational Therapist, Pediatrics | |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2021-07-20 |