| NPI | 1023730512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIONA AUTRY Owner/CEO 910-583-4817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2022-09-13 |