| NPI | 1033819362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHEL CHINGAYA CEO 469-774-9159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2023-03-06 |