| NPI | 1922782960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA PARKER President/ Lep 669-282-2510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 171M00000X Case Manager/Care Coordinator | |
| 235Z00000X Speech-Language Pathologist, | |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2023-06-12 |