| NPI | 1922340660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALY FABER Owner/Member 704-668-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X |
| Additional Taxonomies | 221700000X Art Therapist |
| 225700000X Massage Therapist | |
| 225800000X Recreation Therapist | |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2013-03-20 |