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An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Developmental Disabilities |
261QD1600X | |||
Dental Assistant |
126800000X |
| NPI # | 1457107906 |
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| Entity | Organization | ||||
| Organization subpart 1 | Not specified | ||||
| Enumeration date | 04/25/2024 | ||||
| Last updated | 05/08/2024 - About 2 years ago | ||||
| Identifiers |
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ILEOLA M ALLEN JAMISON
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ILEOLA M ALLEN JAMISON