NPI | 1962943555 |
---|---|
Entity Type | Organization |
Authorized Contact | DOUGLAS EDWIN BROWN CEO/Owner 601-624-1237 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 225X00000X Occupational Therapist |
Enumeration Date | 2017-03-15 |
Last Update Date | 2025-06-11 |