| NPI | 1982160412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE J DAVIS CEO 386-274-4736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 225X00000X Occupational Therapist | |
| 103K00000X Behavior Analyst | |
| 251S00000X Community/Behavioral Health | |
| 224Z00000X Occupational Therapy Assistant | |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2025-12-03 |